We want to make you aware of HB26-1042, a bill that would add dry needling to the scope of practice for Occupational Therapists (OTs).

Physical Therapists and Chiropractors currently perform dry needling. OTs are now pushing for inclusion as well. Our position is that this represents a reach too far—dry needling is an invasive technique and not necessarily within the established education or skill set of OTs.

How You Can Help

Professional testimony is critical.

• We are seeking 10 AAC members willing to provide testimony

• 3–5 individuals will be selected to testify at the committee hearing

• If you are willing to testify, please let us know as soon as possible

 Hearing currently scheduled for February 3rd
Our lobbyist is attempting to delay the hearing, but we must be prepared either way.

Strengthen Our Voice

If you are not yet a member of the Acupuncture Association of Colorado, now is the time to join—and encourage colleagues to do the same. Membership dues directly fund our legislative advocacy, including our lobbyist, who monitors bills like this and represents our interests at the Capitol.

This is a moment to show up as professionals and advocate for appropriate guardrails, education standards, and patient safety. We have a real opportunity to help shape the conversation around dry needling and OT education in Colorado—but only if our voices are heard.

Additional Context

• PTs: Supporting HB26-1042

• Chiropractors: Requested education requirements; stance pending review

• Colorado Medical Society: No position yet; outreach in progress

• DORA: Will not oppose (legislative scope decision)

 Please see the links below to documents on who to contact and next steps.

2026a_1042_introduced.pdf

AC Guide to HB26-1042 Testimony.pdf

AAC Legislators for HB26-1042 Feb.3 Comm Meet Outreach.xlsx - Google Sheets.pdf

Thank you for your engagement and support of our profession. And please refer to additional supporting documents for further information on this matter. 

AAC Legislative Update – December 2025
The state budget continues to be the main focus heading into the 2026 legislative session. Lawmakers are preparing for a challenging year as they work to manage reductions and stabilize core programs such as Medicaid and behavioral health services.

For acupuncture professionals, there are no direct proposals at this time that would change licensing, reimbursement, or practice requirements. However, several broad issues could influence our field over the next few months:

• Federal budget delays are increasing Colorado’s health-care costs and limiting what legislators can finalize; we’ll know the full impact on provider rates and health programs once the federal FY26 budget is passed, hopefully by January 30, 2026.
• The Joint Budget Committee is reviewing the Governor’s proposed budget and may consider adjustments that affect provider rates or public-health programs.
• State agencies, including DORA and CDPHE, are being asked to operate with tighter budgets. This may affect timelines for licensing, renewals, or administrative support.
• Legislators have submitted their first round of bill requests for the 2026 session. Most early proposals appear to focus on Medicaid sustainability and regulatory efficiency. None so far indicate direct changes to acupuncture.
• New bills will begin appearing in early January, and AAC will provide updates as soon as any relevant legislation is introduced.

AAC’s lobbyist will continue monitoring the state’s budget process and all legislation that could affect our profession. We will share timely updates throughout the session to keep members informed about any potential changes.