New York state passes OTA licensure, achieving licensure this in all 50 states and 3 jurisdictions. AOTA adopts the Distinct Value statement: “Occupational therapy’s distinct value is to improve health and quality of life through facilitating participation and engagement in occupations, the meaningful, necessary, and familiar activities of everyday life. Occupational therapy is client-centered, achieves positive outcomes, and is cost-effective.” The Every Student Succeeds Act (P.L. 114-95) establishes the term specialized instructional support personnel (SISP), which includes occupational therapy.