Consumers have direct access to physical therapy services in 46 states. Michigan is 1 of only 4 states that does not allow consumers to go directly to a physical therapist without a referral from a physician. In "Direct Consumer Access to Physical Therapy in Michigan: Challenges to Policy Adoption" (February 2012), Shoemaker analyzes why several direct access bills did not pass the Michigan legislature. This podcast focuses on the legislative process, the lessons learned from the Michigan experience, the concerns raised by opponents of direct access, and how direct access varies from state to state. Participants: Michael Shoemaker, PT, DPT, GCS; Rick Gawenda, PT; and Angela Chasteen. Moderator: Linda Resnik, PT, PhD, OCS.