Montana 2025 Regular Session

Montana House Bill HB454

Introduced
2/11/25  
Refer
2/12/25  
Refer
3/4/25  
Enrolled
4/15/25  

Caption

Revise visit frequency required of supervisory physical therapists

Impact

The changes brought by HB 454 are set to affect the regulations governing physical therapy practices in Montana. By extending the allowable time between required supervisory visits, the bill is likely to impact how physical therapy services are delivered, with potential implications for both patient safety and the efficiency of care. The adjustments could lead to resource savings for physical therapists and assistants, as they may spend less time in required supervisory roles and more time providing direct patient care. However, the effectiveness of this approach relies on maintaining adequate oversight over therapy assistants to safeguard patient well-being.

Summary

House Bill 454 addresses the supervision requirements for physical therapist assistants by revising the frequency of required visits by licensed physical therapists. The bill proposes that a licensed physical therapist must visit supervisees—either onsite or via telehealth—at least once every eight visits made by the assistant or once every 30 days, whichever comes first. This amendment aims to provide more flexibility in the supervision process while ensuring ongoing patient care.

Sentiment

The sentiment surrounding HB 454 appears to be largely supportive among healthcare providers advocating for flexible supervision methods. Many see this bill as a positive change that can help optimize the use of therapy resources and enhance patient access to services. However, there may be concerns raised by advocates for patient safety and those who fear that less frequent supervision could undermine the quality of care provided by assistants. The balance between flexibility and oversight is central to the debate over this legislation.

Contention

Notable points of contention regarding HB 454 revolve around the potential impacts on supervisory rigor in physical therapy practices. Critics might argue that reducing the frequency of supervisor visits could lead to inadequate oversight of therapy assistants, potentially putting patients at risk. On the other hand, proponents of the bill argue that the changes will allow for a more efficient system without compromising care quality. As this bill moves through the legislative process, it is likely to spur discussions about the optimal balance between flexibility for healthcare providers and the need for ensuring patient safety.

Companion Bills

No companion bills found.

Previously Filed As

MT HB313

Provide for independent practice of physician assistants

MT HB612

Revise insurance requirements for diabetes self-management

MT SB456

Generally revise laws pertaining to hearing aid dispensers

MT HB137

Generally revise laws related to the board of behavioral health

MT HB152

Revise laws related to professional and occupational licensure

MT HB724

Generally revise public notice requirements

MT HB214

Revise education laws related to remote instruction

MT SB454

Generally revise laws pertaining to private security

MT HB655

Require medicaid coverage of home births attended by midwives

MT SB112

Revise pharmacist prescribing authority

Similar Bills

AZ SB1267

Physical therapy assistants; students; supervision

LA HB159

Provides relative to the supervision of physical therapist assistants

CA AB3013

Veterinary medicine: animal physical rehabilitation.

SD SB110

Revise licensure and supervision requirements for physical therapists and physical therapist assistants.

LA SB590

Provides for supervision requirements of a physical therapy assistant. (8/15/10)

CA AB814

Veterinary medicine: animal physical rehabilitation.

AZ HB2181

Physical therapy; durable medical equipment

CA AB1458

Physical therapy and veterinary medicine: animal physical therapy.