State Advocacy

State Issues

Vote and or Donate to North Carolina PT Par Excellence, Ben Massey!

Typical politics are partisan and work best with collaboration to end up with solutions in the middle.


The great thing to know about politics for physical therapy is that our issues ARE NOT PARTISAN!  In fact, we lobby our state house representatives and senators for issues that improve our services for patients.


That is why is it important to donate to Ben Massey!  He's running in the northwest corner of the state for House Representative in the NC General Assembly for House District 93.   What an amazing benefit it would be for our profession if we had someone who could explain our issues on the inside!


Ben Massey is the previous president of the American Physical Therapy Association, previous president of the APTA NC ours tate chapter, and previous executive officer of the NC Board of PT Examiners.




Vote & Donate!

Become a Key Contact for the

NC General Assembly ~ it's easy!

  • NC General Assembly House Districts

    There are 120! We need a PT and a PT in each district. It's easy and we'll teach you how to do it.

  • NC Senate Districts

    There are 50 Senate Districts. We need a PT and a PT in each District. You can represent a House and Senate District. It's easy to interact with State House Representatives and Senators. We'll help and show you how.


Current Issues


  • Schools-PT Task Force

    Did you know that in the NC Department of Public Instruction, PTs and OTs are not in the same employment category as teachers, nurses, and speech-language pathologists?  


    Learn More and get involved on our Peds Special Interest Group page

  • Disability Plates & Parking Placards

    The state of North Carolina Division of Transportation relies on healthcare professionals to determine when a person needs to use disability parking spots--whether temporarily or permanently.  Who better to know a person's ability to ambulate safely and how far than a PT?  APTA NC hopes to advocate for this options in the coming General Assembly session.

  • PTs & Concussion

    In 2010, the General Assembly passed the Gfeller-Waller act that requires schools to have appropriate licensed healthcare providers to evaluate and help make decisions about return to play for child athletes at all levels.   Evaluating and treating patients with concussion has long been within the scope of practice of PTs.  In fact, PTs can evaluate and treat schoolchildren with concussion in North Carolina; however, the law does not count PTs as fulfilling a school's obligation.  APTA NC is advocating to add PTs to the list of providers for schools.

  • Do you have an idea?

    Contact our State Legislative Chair, click on the contact button below:


Past Progress


  • Spinal Manipulation Legislation

    In 2019, after working for 6 years (and waiting for 34 years), the Spinal Manipulation Task Force succeeded in passing an amendment to the PT Practice Act to allow for PTs to perform spinal manipulation without a physician referral- a technique within the PT professional scope of practice for 100+ years.

  • Dry Needling Litigation

    In 2015, the NC Acupuncture Licensing Board (NCAP) sued the NC Board of PT Examiners (NCBPTE) in a state court alleging that when PTs performed dry needling, they were performing acupuncture.


    Meanwhile the several state PTs supported by APTA NC (formally called NCPTA) launched a federal anti-trust suit alleging that acupuncturists were keeping PTs from performing their own business.


    Under the leadership of APTA NC presidents David Edwards and Kyle Covington, along with the State Legislative Commitee Chair and VP, Mary Kay Hannah, the NC Supreme Court determined in 2018 that dry needling was a part of PT practice.  Soon after, the NCAP settled the federal anti-trust suit.

  • Direct Access Legislation

    North Carolina was the 7th state to obtain direct access, the legal ability of PTs to see patients without referral.   Ben Massey led this advocacy work in 1985.

  • PT Compact Legislation

    In 2018, APTA NC passed a Practice Act legislative update that allowed for the North Carolina Board of PT Examiners to join the PT Compact.  We were the 11th state to join and now PTs in our state can easily gain practice privileges in other compact states and vice versa.  This is a great boon for military spouses and for traveling PTs and PTAs.

  • Term Protection

    Members let APTA NC leadership know about a health insurance company using a mobile app for exercise and calling it "physical therapy," without any physical therapists involved in their exercise app. The Chapter provided info to the licensing Board who worked with the Federation of State Boards of PT to have the insurance company stop misusing our legallly protected name for specific PT-provided services.

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Meet our State Legislative Chair!

Dr. Ginger Garner has her own non-insurance-based practice in Greensboro, focused on pelvic floor therapy, evidence-based yoga treatment in PT, and Functional Medicine.  She previously ran for NC State Senate.  Although she was not elected down east, she's regularly involved in state advocacy in the Piedmont region.  She is ready and willing to help you get involved, meet your state legislators, and teach you how to advocate for our profession!

Interested in serving on the State Legislative Committee or being a Key Contact?  Join us!

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