Committee considers expanding dry‑needling practice to PAs, OTs and APRNs with training and advertising limits

Senator Poore introduced HB165 to authorize physician associates, occupational therapists and advanced practice registered nurses to practice dry needling — a technique in which a thin needle is inserted under the skin to treat muscle and nerve pain and to stimulate myofascial trigger points. The bill would establish training and practice standards through the Board of Medical Licensure and Discipline and prohibit PAs, OTs and APRNs from advertising themselves as acupuncturists unless properly licensed.

Sponsor remarks described dry needling’s therapeutic uses — including treatment of joint pain, tendinitis, migraines and other conditions — and said the bill creates requirements and limits intended to protect patients. An amendment removed a referral requirement for APRNs and PAs while keeping a physician‑referral requirement for occupational therapists.

Shawna Slaughter, director for the Division of Professional Regulation, explained the referral amendment and said OTs will still need a physician referral; witnesses including Christopher Otto and Susan Kennedy Buck said the bill expands access to non‑opioid pain treatments and supports patient‑centered care. Cheryl Hykes and other health‑care association representatives also voiced support for passage out of committee.

The committee heard general support and technical questions about training hours and patient protections; the bill remains in committee pending additional drafting and a potential amendment filing.