In quantum mechanics, physical states don't live in the Hilbert space, but rather on the equivalence class of rays on the Hilbert space. This is called a projective space. This is the reason why when we look for representations of symmetries of the theory, we need to abandon the classical representations and go to projective ones (that is why we replace $SO(3)$ with its universal cover $SU(2)$ to find representations of rotations and thus include spin).
The explanation for this is that states that differ by a multiplicative constant will give the same probability, given by the Born rule
\begin{equation} P(\phi,\psi)=\frac{|\langle \phi|\psi\rangle|^2 }{|\langle \phi|\phi\rangle||\langle \psi |\psi \rangle|} \end{equation}
where $P(\phi,\psi)$ is the probability to find the state $\psi$ on state $\phi$ as we measure. The denominator becomes $1$ if we normalize states, but that's not necessarily required.
Given that the Born rule cannot be explained within the dynamics of quantum theories but is a separate axiom, my question is: Is the Born rule the only reason why we need projective representations? Or is there something intrinsic about quantum theories that requires projectiveness?