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SB 204UTAHSession 2026State BillSigned into law

Enacted

Utah Requires Health Insurers to Match Physical Therapy Cost-Sharing with Primary Care Rates Starting in 2027

Original title: Physical Therapy Payment Amendments

Last action · March 18, 2026: Governor SignedSponsors: Mike McKell and 1 other

Bill progressHistory & official text ↓

Introduced

Committee

Floor Vote

Passed

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What This Bill Does

Health insurance policies in Utah must cap s, , and deductibles for physical therapy visits so they do not exceed what is charged for primary care provider visits, effective January 1, 2027.

Why it matters

Patients receiving physical therapy services will see their out-of-pocket visit costs aligned directly with standard primary care fee structures upon plan renewal or issuance on or after January 1, 2027.

Background

The legislation amends Utah Code Section 31A-22-624, which governs primary care physician and physical therapist access within health insurance policies. context

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

insured individuals

Insured individuals will have their physical therapy copayments, coinsurance, and deductibles capped at primary care provider levels starting in 2027.

Directly affected

health insurers

Health insurers must adjust their accident and health insurance policies to match physical therapy cost-sharing methods with primary care services and update explanatory literature.

Directly affected

physical therapists

Physical therapists operate under policies where patient cost-sharing structures are standardized against primary care visits, while maintaining their existing scope of practice.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

When does the requirement to cap physical therapy cost sharing take effect?

The requirement applies to health benefit plans renewed or entered into on or after January 1, 2027.

Does this bill allow physical therapists to practice outside their normal scope of practice?

No, the measure explicitly states that nothing permits a physical therapist to practice outside of the scope of practice under Title 58, Chapter 24b, Physical Therapy Practice Act.

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Where This Stands

Current status: Signed into law.

Procedural history

45 actions

Mar 18, 2026Lieutenant Governor's office for filingEnrolled
Governor Signed
Mar 13, 2026Senate
Senate/ to Governor
Mar 13, 2026Senate
Senate/ received enrolled bill from Printing
Mar 11, 2026Senate
Senate/ enrolled bill to Printing
Mar 11, 2026Senate Secretary
Enrolled Bill Returned to House or Senate
Mar 6, 2026Legislative Research and General Counsel / Enrolling
Draft of Enrolled Bill Prepared

Show 39 earlier actions

Mar 6, 2026Legislative Research and General Counsel / Enrolling
Bill Received from Senate for Enrolling
Mar 5, 2026Senate
Senate/ signed by President/ sent for enrolling
Mar 5, 2026Senate
Senate/ received from House
Mar 4, 2026House
House/ to Senate
Mar 4, 2026House
House/ signed by Speaker/ returned to Senate
Mar 4, 2026House
House/ received from Senate
Mar 4, 2026Senate
Senate/ to House
Mar 4, 2026Senate
Senate/ concurs with House amendment
Mar 4, 2026Senate
Senate/ placed on Concurrence Calendar
Mar 4, 2026Senate
Senate/ received from House
Mar 4, 2026House
House/ to Senate
Mar 4, 2026HouseFloor
House/ passed 3rd reading
Mar 4, 2026House
House/ floor amendment
Mar 4, 2026House
House/ 3rd reading
Mar 4, 2026House
House/ 2nd reading
Mar 4, 2026House
House/ Rules to 3rd Reading Calendar
Mar 2, 2026House
House/ return to Rules due to fiscal impact
Mar 2, 2026House
House/ committee report favorable
Feb 27, 2026House
House Comm - Favorable Recommendation
Feb 26, 2026HouseCommittee
House/ to standing committee
Feb 25, 2026HouseIntroduced
House/ 1st reading (Introduced)
Feb 24, 2026House
House/ received from Senate
Feb 24, 2026Senate
Senate/ to House
Feb 23, 2026SenateFloor
Senate/ passed 3rd reading
Feb 23, 2026Senate
Senate/ 3rd reading
Feb 20, 2026SenateFloor
Senate/ passed 2nd reading
Feb 20, 2026Senate
Senate/ 2nd reading
Feb 9, 2026Senate
Senate/ placed on 2nd Reading Calendar
Feb 9, 2026Senate
Senate/ committee report favorable
Feb 6, 2026Senate
Senate Comm - Favorable Recommendation
Jan 30, 2026Released
LFA/ fiscal note publicly available for SB0204
Jan 30, 2026Version Sponsor
LFA/ fiscal note sent to sponsor for SB0204
Jan 29, 2026SenateCommittee
Senate/ to standing committee
Jan 28, 2026SenateIntroduced
Senate/ 1st reading (Introduced)
Jan 28, 2026Senate
Senate/ received bill from Legislative Research
Jan 27, 2026Legislative Fiscal Agency
LFA/ bill sent to agencies for fiscal input for SB0204
Jan 27, 2026Legislative Fiscal Analyst
LFA/ bill assigned to staff for fiscal analysis for SB0204
Jan 27, 2026Legislative Research and General Counsel
Numbered Bill Publicly Distributed
Jan 27, 2026Legislative Research and General Counsel
Bill Numbered but not Distributed

Version history

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