Texas legislation · 89th Legislature Regular Session
Texas HB4099: Relating to the treatment of a patient by a physical therapist without a referral.
Status: Signed into law, June 20, 2025
What the bill says
An act relating to the treatment of a patient by a physical therapist without a referral.
From the enrolled text, May 30, 2025:
AN ACT relating to the treatment of a patient by a physical therapist without a referral. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Sections 453.301(a-1) and (b), Occupations Code, are amended to read as follows: (a-1)[ADDED: A][[DELETED: Except as provided by Subsection (a-2), a]] physical therapist may treat a patient under Subsection (a) for not more than [ADDED: 30][[DELETED: 10]] consecutive[ADDED: calendar][[DELETED: business]] days. (b) The physical therapist must obtain a referral from a referring practitioner before the physical therapist may continue treatment that exceeds treatment authorized under Subsection (a-1) [[DELETED: or (a-2), as applicable]]. SECTION 2. Section 453.301(a-2), Occupations Code, is repealed. SECTION 3. Not later than December 1, 2025, the Texas Board of Physical Therapy Examiners shall adopt rules necessary to implement Section 453.301, Occupations Code, as amended by this Act. SECTION 4. This Act takes effect September 1, 2025. ______________________________ ______________________________ President of the Senate Speaker of the House I certify that H.B. No. 4099 was passed by the House on May 16, 2025, by the following vote: Yeas 99, Nays 15, present, not voting. ______________________________ Chief Clerk of the House I certify that H.B. No. 4099 was passed by the Senate on May 28, 2025, by the following vote: Yeas 31, Nays 0. ______________________________ Secretary of the Senate APPROVED: _____________________ …
Sponsors
- Caroline Harris Davila (R, HD-052) · primary sponsor
- Cody Harris (R, HD-008)
- Cody Vasut (R, HD-025)
- Barbara Gervin-Hawkins (D, HD-120)
- Senfronia Thompson (D, HD-141)
- Daniel Alders (R, HD-006)
- Keith Bell (R, HD-004)
- Ben Bumgarner (R, HD-063)
- Briscoe Cain (R, HD-128)
- Giovanni Capriglione (R, HD-098)
- David Cook (R, HD-096)
- Tom Craddick (R, HD-082)
Latest actions
- : Effective on 9/1/25
- : Signed by the Governor
- : Sent to the Governor
- : Signed in the Senate
- : Signed in the House
- : Reported enrolled
- : Senate passage reported
- : Passed
- : Read 3rd time
- : Record vote
Votes
- Public Health Committee Vote (Out of committee): 8 yea, 3 nay, passed
- Health & Human Services Committee Vote (Out of committee): 8 yea, 0 nay, passed
- Rules suspended-Three day rule (May 28, 2025): 31 yea, 0 nay, passed
- Read 3rd time (May 28, 2025): 31 yea, 0 nay, passed
- Record vote RV#3546 (May 16, 2025): 116 yea, 24 nay, passed
- Record vote RV#2842 (May 16, 2025): 99 yea, 15 nay, passed
Subjects: Occupational Regulation--Health Occupations, PHYSICAL THERAPISTS, BOARD OF PHYSICAL THERAPY EXAMINERS, TEXAS
Common questions
- What is HB4099?
- HB4099 is a bill in the Texas Legislature (89th Legislature Regular Session): Relating to the treatment of a patient by a physical therapist without a referral.
- What does HB4099 do?
- In its own words: An act relating to the treatment of a patient by a physical therapist without a referral.
- What is the status of HB4099?
- Signed into law as of June 20, 2025. Latest action: Effective on 9/1/25 (June 20, 2025).
- Who sponsored HB4099?
- Caroline Harris Davila (R, HD-052), with 11 co-sponsors.
- Where is the official record for HB4099?
- On the Texas Legislature website: https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB04099
Source: official Texas record. Tracked by Delilah, AI for legislation across all 50 states and Congress.