Legislation: batch B — IL IN KS KY LA MA MD ME MI MN

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/il/100th/hb-4643.md

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+---
+type: "Bill"
+title: "PHYSICAL THERAPY-DIAGNOSIS"
+description: "Amends the Illinois Physical Therapy Act. Provides that the limitation on determining a differential diagnosis shall not in any manner limit a physical therapist from establishing a relevant diagnosis. In the definition of \"documented current and relevant diagnosis\" and in provisions concerning disciplinary actions, removes language requiring a diagnosis to be substantiated by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician. Effective immediately."
+jurisdiction: "us/states/il"
+legislature: "Illinois General Assembly"
+session: "100th"
+identifier: "HB 4643"
+citation: "Illinois HB 4643 (100th)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: []
+version_count: 3
+action_count: 80
+vote_count: 2
+first_action: "2018-02-07"
+last_action: "2018-08-16"
+source: "openstates"
+source_identifier: "ocd-bill/e2f9cc23-0f15-4cd1-985c-883d87c260ec"
+source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4643&GAID=14&DocTypeID=HB&LegId=109632&SessionID=91&GA=100"
+source_hash: "29daa0ec855be24d9a90d66649df7987802462ecf584aae27ef05613936e0244"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-il"]
+---
+
+# Illinois HB 4643 (100th) — PHYSICAL THERAPY-DIAGNOSIS
+
+Amends the Illinois Physical Therapy Act. Provides that the limitation on determining a differential diagnosis shall not in any manner limit a physical therapist from establishing a relevant diagnosis. In the definition of "documented current and relevant diagnosis" and in provisions concerning disciplinary actions, removes language requiring a diagnosis to be substantiated by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician. Effective immediately.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4643&GA=100&SessionId=91&DocTypeId=HB&LegID=109632&DocNum=4643&GAID=14&Session=&print=true)
+2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4643eng&GA=100&SessionId=91&DocTypeId=HB&LegID=109632&DocNum=4643&GAID=14&Session=&print=true)
+3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4643enr&GA=100&SessionId=91&DocTypeId=HB&LegID=109632&DocNum=4643&GAID=14&Session=&print=true)
+
+## Votes
+
+- Third Reading — **95–0** (pass) · lower
+- Third Reading — **54–0** (pass) · upper
+
+## Sponsors
+
+- Chuck Weaver — cosponsor (person)
+- Dale Fowler — cosponsor (person)
+- Dan McConchie — cosponsor (person)
+- Daniel J. Burke — primary (person)
+- Emil Jones, III — cosponsor (person)
+- James F. Clayborne, Jr. — cosponsor (person)
+- Jason A. Barickman — cosponsor (person)
+- John F. Curran — cosponsor (person)
+- John J. Cullerton — cosponsor (person)
+- Karen McConnaughay — cosponsor (person)
+- Kyle McCarter — cosponsor (person)
+- Linda Holmes — cosponsor (person)
+- Martin A. Sandoval — cosponsor (person)
+- Melinda Bush — cosponsor (person)
+- Michael Connelly — cosponsor (person)
+- Neil Anderson — cosponsor (person)
+- Pamela J. Althoff — cosponsor (person)
+- Paul Schimpf — cosponsor (person)
+- Terry Link — cosponsor (person)
+- Tom Rooney — cosponsor (person)
+- William R. Haine — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2018-02-07** Filed with the Clerk by Rep. Daniel J. Burke `filing`
+- **2018-02-07** Added Co-Sponsor Rep. Theresa Mah
+- **2018-02-07** First Reading `reading-1`
+- **2018-02-07** Referred to Rules Committee `referral-committee`
+- **2018-02-13** Added Chief Co-Sponsor Rep. Robyn Gabel
+- **2018-02-13** Chief Co-Sponsor Changed to Rep. Robyn Gabel
+- **2018-02-15** Added Chief Co-Sponsor Rep. Jay Hoffman
+- **2018-02-22** Added Co-Sponsor Rep. John C. D'Amico
+- **2018-02-26** Added Co-Sponsor Rep. Jerry Costello, II
+- **2018-03-01** Added Co-Sponsor Rep. Natalie Phelps Finnie
+- **2018-03-05** Assigned to Health Care Licenses Committee `referral-committee`
+- **2018-03-14** Added Co-Sponsor Rep. Michael D. Unes
+- **2018-03-15** Added Co-Sponsor Rep. Laura Fine
+- **2018-04-03** Added Co-Sponsor Rep. Barbara Wheeler
+- **2018-04-10** Do Pass / Short Debate Health Care Licenses Committee; 013-002-000 `committee-passage`
+- **2018-04-10** Placed on Calendar 2nd Reading - Short Debate
+- **2018-04-23** House Floor Amendment No. 1 Filed with Clerk by Rep. Daniel J. Burke `amendment-introduction`
+- **2018-04-23** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
+- **2018-04-24** House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee
+- **2018-04-25** House Floor Amendment No. 2 Filed with Clerk by Rep. Daniel J. Burke `amendment-introduction`
+- **2018-04-25** House Floor Amendment No. 2 Referred to Rules Committee `referral-committee`
+- **2018-04-25** Added Chief Co-Sponsor Rep. Kathleen Willis
+- **2018-04-25** House Floor Amendment No. 3 Filed with Clerk by Rep. Daniel J. Burke `amendment-introduction`
+- **2018-04-25** House Floor Amendment No. 3 Referred to Rules Committee `referral-committee`
+- **2018-04-25** Second Reading - Short Debate `reading-2`
+- **2018-04-25** Held on Calendar Order of Second Reading - Short Debate `reading-2`
+- **2018-04-26** House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 016-000-000 `committee-passage-favorable`
+- **2018-04-26** Added Chief Co-Sponsor Rep. Ann M. Williams
+- **2018-04-26** House Floor Amendment No. 1 Adopted `amendment-passage`
+- **2018-04-26** Placed on Calendar Order of 3rd Reading - Short Debate
+- **2018-04-26** Removed from Short Debate Status
+- **2018-04-26** Placed on Calendar Order of 3rd Reading - Standard Debate
+- **2018-04-26** Added Co-Sponsor Rep. LaToya Greenwood
+- **2018-04-26** Added Co-Sponsor Rep. Jaime M. Andrade, Jr.
+- **2018-04-27** House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
+- **2018-04-27** House Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
+- **2018-04-27** Added Co-Sponsor Rep. Michael P. McAuliffe
+- **2018-04-27** Recalled to Second Reading - Standard Debate `reading-2`
+- **2018-04-27** House Floor Amendment No. 2 Adopted `amendment-passage`
+- **2018-04-27** House Floor Amendment No. 3 Adopted `amendment-passage`
+- **2018-04-27** Placed on Calendar Order of 3rd Reading - Standard Debate
+- **2018-04-27** Third Reading - Standard Debate - Passed 095-000-000 `reading-3, passage`
+- **2018-05-01** Arrive in Senate `introduction`
+- **2018-05-01** Placed on Calendar Order of First Reading `reading-1`
+- **2018-05-01** Chief Senate Sponsor Sen. John G. Mulroe
+- **2018-05-01** First Reading `reading-1`
+- **2018-05-01** Referred to Assignments `referral-committee`
+- **2018-05-01** Added as Alternate Chief Co-Sponsor Sen. Cristina Castro
+- **2018-05-01** Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
+- **2018-05-01** Added as Alternate Co-Sponsor Sen. Terry Link
+- **2018-05-02** Assigned to Licensed Activities and Pensions `referral-committee`
+- **2018-05-03** Added as Alternate Co-Sponsor Sen. Dale Fowler
+- **2018-05-03** Added as Alternate Co-Sponsor Sen. Paul Schimpf
+- **2018-05-08** Added as Alternate Co-Sponsor Sen. Linda Holmes
+- **2018-05-08** Added as Alternate Co-Sponsor Sen. Melinda Bush
+- **2018-05-08** Added as Alternate Co-Sponsor Sen. Emil Jones, III
+- **2018-05-10** Do Pass Licensed Activities and Pensions; 009-000-000 `committee-passage`
+- **2018-05-10** Placed on Calendar Order of 2nd Reading May 15, 2018
+- **2018-05-10** Added as Alternate Co-Sponsor Sen. Neil Anderson
+- **2018-05-10** Added as Alternate Co-Sponsor Sen. Pamela J. Althoff
+- **2018-05-10** Added as Alternate Co-Sponsor Sen. Tom Rooney
+- **2018-05-15** Added as Alternate Co-Sponsor Sen. Chuck Weaver
+- **2018-05-15** Added as Alternate Co-Sponsor Sen. James F. Clayborne, Jr.
+- **2018-05-16** Added as Alternate Co-Sponsor Sen. Kyle McCarter
+- **2018-05-16** Added as Alternate Co-Sponsor Sen. William R. Haine
+- **2018-05-16** Added as Alternate Co-Sponsor Sen. Michael Connelly
+- **2018-05-16** Added as Alternate Co-Sponsor Sen. John F. Curran
+- **2018-05-17** Added as Alternate Co-Sponsor Sen. Martin A. Sandoval
+- **2018-05-17** Second Reading `reading-2`
+- **2018-05-17** Placed on Calendar Order of 3rd Reading May 18, 2018
+- **2018-05-18** Added as Alternate Co-Sponsor Sen. Dan McConchie
+- **2018-05-18** Added as Alternate Co-Sponsor Sen. John J. Cullerton
+- **2018-05-21** Added as Alternate Co-Sponsor Sen. Karen McConnaughay
+- **2018-05-21** Added as Alternate Co-Sponsor Sen. Jason A. Barickman
+- **2018-05-23** Third Reading - Passed; 054-000-001 `reading-3, passage`
+- **2018-05-23** Passed Both Houses
+- **2018-06-21** Sent to the Governor `executive-receipt`
+- **2018-08-16** Governor Approved `executive-signature`
+- **2018-08-16** Effective Date August 16, 2018
+- **2018-08-16** Public Act . . . . . . . . . 100-0897 `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e2f9cc23-0f15-4cd1-985c-883d87c260ec`. Confidence: reported (aggregated from official Illinois legislature records).
+