H.B. No. 4099
 
 
 
 
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)  A [Except as provided by Subsection (a-2), a] physical
  therapist may treat a patient under Subsection (a) for not more than
  30 [10] consecutive calendar [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)
  [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  repealed.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, 2 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:  _____________________
                     Date          
   
            _____________________
                   Governor