Why knowing the rules for your state matters

By AskSAMIE · 2 min read

As an OT, knowing your state’s rules is essential for practicing legally, ethically, and confidently. Each state’s Occupational Therapy Practice Act outlines key regulations like licensure requirements, scope of practice, supervision of OTAs, and continuing education (CEUs). Following these laws ensures you stay compliant, avoid disciplinary actions, and protect your license—your most valuable professional asset. Without it, you can’t practice! Staying informed also helps you deliver high-quality, ethical care by following standards like confidentiality, informed consent, and practicing within your scope.


Differences between states

Additionally, state laws vary, so what’s allowed in one state might not apply elsewhere. For example, direct access, telehealth rules, or OTA supervision requirements differ widely. Laws also evolve, such as telehealth provisions introduced during COVID-19 or changes to advanced practice areas. By staying up to date on your state’s practice act and staying connected to updates through your state OT board or association, you can ensure compliance, protect your career, and provide the best care for your clients.

Helpful state resources

OT Referral Requirements by State.pdfOT Scope of Practice by State.pdfOT CEU Requirements by State.pdf

State OT websites

StateState Board WebsiteOT Association Website
AlabamaAlabama OT BoardAlabama OT Association
AlaskaAlaska OT Licensing BoardAlaska OT Association
ArizonaArizona OT BoardArizona OT Association
ArkansasArkansas State OT BoardArkansas OT Association
CaliforniaCalifornia OT BoardOTAC
ColoradoColorado OT BoardColorado OT Association
ConnecticutConnecticut OT BoardConnecticut OT Association
DelawareDelaware OT BoardDelaware OT Association
FloridaFlorida OT BoardFOTA
GeorgiaGeorgia OT BoardGeorgia OT Association
HawaiiHawaii OT BoardHawaii OT Association
IdahoIdaho OT BoardIdaho OT Association
IllinoisIllinois OT BoardIllinois OT Association
IndianaIndiana OT BoardIndiana OT Association
IowaIowa OT BoardIowa OT Association
KansasKansas OT BoardKansas OT Association
KentuckyKentucky OT BoardKentucky OT Association
LouisianaLouisiana OT BoardLouisiana OT Association
MaineMaine OT BoardMaine OT Association
MarylandMaryland OT BoardMaryland OT Association
MassachusettsMassachusetts OT BoardMassachusetts OT Association
MichiganMichigan OT BoardMichigan OT Association
MinnesotaMinnesota OT BoardMinnesota OT Association
MississippiMississippi OT BoardMississippi OT Association
MissouriMissouri OT BoardMissouri OT Association
MontanaMontana OT BoardMontana OT Association
NebraskaNebraska OT BoardNebraska OT Association
NevadaNevada OT BoardNevada OT Association
New HampshireNew Hampshire OT BoardNew Hampshire OT Association
New JerseyNew Jersey OT BoardNew Jersey OT Association
New MexicoNew Mexico OT BoardNew Mexico OT Association
New YorkNew York OT BoardNew York OT Association
North CarolinaNorth Carolina OT BoardNorth Carolina OT Association
North DakotaNorth Dakota OT BoardNorth Dakota OT Association
OhioOhio OTPTAT BoardOhio OT Association
OklahomaOklahoma OT BoardOklahoma OT Association
OregonOregon OT Licensing BoardOregon OT Association
PennsylvaniaPennsylvania OT BoardPennsylvania OT Association
Rhode IslandRhode Island OT BoardRhode Island OT Association
South CarolinaSouth Carolina OT BoardSouth Carolina OT Association
South DakotaSouth Dakota OT BoardSD OT Association
TennesseeTennessee OT BoardTennessee OT Association
TexasTexas OT BoardTexas OT Association
UtahUtah OT BoardUtah OT Association
VermontVermont OT BoardVermont OT Association
VirginiaVirginia OT BoardVirginia OT Association
WashingtonWashington OT BoardWashington OT Association
West VirginiaWest Virginia OT BoardWest Virginia OT Association
WisconsinWisconsin OT BoardWisconsin OT Association
WyomingWyoming OT BoardWyoming OT Association

Territories

TerritoryState Board WebsiteOT Association Website
American SamoaAmerican Samoa OT Boardn/a
GuamGuam OT BoardGuam OT Association
Northern Mariana IslandsNorthern Mariana Islands Health Licensing Boardn/a
Puerto RicoPuerto Rico OT BoardPuerto Rico OT Association
U.S. Virgin IslandsU.S. Virgin Islands OT BoardU.S. Virgin Islands OT Association
Washington, D.C.Washington, D.C. OT BoardDC Occupational Therapy Association (DCOTA)

The Takeaway

Knowing and following your state’s OT Practice Act isn’t just a legal must—it’s a professional power move 💪. Staying current with your state’s rules helps you protect your license, deliver ethical care, and stay confident in your practice. Bookmark your state board’s site, check for updates regularly, and keep your CEUs and supervision in check. Your license is your livelihood—treat it like gold!

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