Equine Movement Therapy

OTAC and community advocates successfully opposed legislation that would have eliminated Medicaid reimbursement for therapy using equine movement. The repeal bill (HB26‑1365) did not advance, preserving access to this valuable, evidence‑informed intervention for Medicaid members and protecting OT, PT, and SLP participation in equine‑based therapy services.

Dry Needling by Occupational Therapists: Bill (HB26‑1042)

The General Assembly passed HB26‑1042, authorizing occupational therapists in Colorado to perform dry needling beginning September 1, 2027, provided they meet defined education, training, and competency requirements and obtain informed patient consent. The bill also directs DORA to implement rules aligned with existing physical therapy dry needling standards, ensuring patient safety and clinical integrity while expanding OT treatment options.

Key milestones:

• January 14, 2026 – Introduced in the House; assigned to the House Health & Human Services Committee.
• February 4, 2026 – Approved by the House Health & Human Services Committee; referred to the House Committee of the Whole.
• February 17, 2026 – Passed House Second Reading with amendments.
• February 18, 2026 – Passed House Third Reading; advanced to the Senate.
• February 20, 2026 – Introduced in the Senate; assigned to the Senate Health & Human Services Committee.

• March 11, 2026 – Approved by the Senate Health & Human Services Committee; placed on the Senate Committee of the Whole consent calendar.

• March 16, 2026 – Passed Senate Second Reading, no amendments.

What This Means for Occupational Therapists

If ultimately enacted, the legislation would authorize occupational therapists in Colorado to perform dry needling beginning September 1, 2027, provided they meet specific requirements.

Occupational therapists would need to:

• Demonstrate appropriate knowledge, skills, and documented competency
• Complete an approved course of study that meets established educational and clinical training standards
• Obtain written informed consent from each patient explaining the risks and benefits of the procedure

The Colorado Department of Regulatory Agencies (DORA) would be responsible for developing the detailed training standards, competency requirements, and regulatory framework through the rulemaking process. 

OTAC will remain actively engaged throughout this process and will continue working with our lobbyists and legislative partners to help ensure the regulations support safe, evidence-informed, and accessible occupational therapy practice.