Legislation permitting evaluation of patients without referral became law July 1, 1984. Legislation permitting direct patient access to physical
therapists without physician referral was signed by Gov. Terry Branstad Feb. 5, 1988, and took effect July 1, 1988.
On June 4, 1991, Gov. Terry Branstad signed into law a bill licensing physical therapist assistants in Iowa, and the bill took effect July 1, 1991.