Markosek bill heads to governor’s desk to increase access to occupational therapy
Rep. Brandon Markosek July 12, 2026 | 2:35 PM
HARRISBURG, July 12 – Legislation that would make it easier for licensed occupational therapists and occupational therapy assistants to practice across state lines by joining a national licensure compact is on its way to Gov. Josh Shapiro’s desk to be signed into law, announced state Rep. Brandon Markosek, D-Allegheny.
House Bill 482, introduced by Markosek, would authorize Pennsylvania to join the National Occupational Therapy Licensure Compact. The House unanimously concurred in the bill today after the Senate amended it to extend the implementation date to 180 days. This extension will allow more time to promulgate regulations and build out the software to be ready to issue compact privileges.
“Occupational therapists assess, plan, and organize rehabilitative programs that help people with disabilities or developmental delays build or regain the skills they need for daily living and independence,” Markosek said. “I am proud to see my bill become law because it will expand patient access to care and support professionals working in the field. I appreciate partnering with Senator Boscola to pass my bill through both chambers.”
As the Senate companion bill’s prime sponsor, Sen. Lisa Boscola, D-Lehigh/Northampton, praised the final vote and highlighted what the compact could mean for patients.
“Occupational therapy can help a senior relearn how to safely get dressed, prepare a meal, or move around the house after a fall or stroke,” Boscola said. “Those everyday skills can make a real difference in whether someone can remain independent at home. This compact can help more Pennsylvanians connect with qualified care while making our commonwealth a better place for the talented OTs we train here to build their careers. I was proud to work with Representative Markosek to get this across the finish line.”
The National Occupational Therapy Licensure Compact, like other existing medical licensure compacts for physicians, nurses, psychologists, and physical therapists, would increase licensure portability while maintaining Pennsylvania’s authority to regulate the profession. Currently, 31 states, including Delaware, Maryland, Ohio, and West Virginia, are members of the compact.
###