Most physical therapists assume healthcare policy is decided somewhere far away.

But Utah PTs just proved something different.

In this episode, Howard Quackenbush explains how competing physical therapy clinics united to pass legislation that recognizes PTs as primary care providers for co-pay purposes—reducing financial barriers and improving patient access.

Instead of waiting for national policy changes, this group of clinicians and clinic owners worked state-level relationships, coordinated fundraising, and built grassroots support that ultimately passed the bill.

For private practice owners and PT leaders, the lesson is clear: if you want change in reimbursement, access, or regulation, you may have to organize and lead it.

Topics discussed:

• Why high PT co-pays discourage patients from completing care

• How competing clinics collaborated instead of competing

• The legislative strategy that helped Utah PTs win

• Why grassroots advocacy matters for clinic owners

• The role of relationships in healthcare policy

• A practical blueprint other states can follow

Howard also shares the leadership philosophy that guided the effort—and why relationships ultimately determine whether policy moves forward.

The Legislative Playbook Every PT Should Study