HB 4099 Texas House · 89th Legislature (2025)

Relating to the treatment of a patient by a physical therapist without a referral.

HB 4099 changes Texas law to allow physical therapists to treat patients without a referral for up to 10 consecutive business days, reducing the previous 30-day limit. After this initial period, therapists must obtain a referral from a licensed practitioner to continue treatment. The bill directly affects physical therapists and their patients by modifying practice requirements. It repeals an existing subsection and requires the Texas Board of Physical Therapy Examiners to adopt implementing rules by December 1, 2025, with the law taking effect September 1, 2025.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Mar 2025

Committee Review

May 2025

House Passage

May 2025

Senate Passage

May 2025

Signed into Law

Jun 2025

Introduced Mar 27, 2025 Signed Jun 20, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 1 edit · Jun 20, 2025

MINOR

This bill text appears to be a formatting conversion from an Engrossed version to an Enrolled version, with no substantive policy changes. The core provisions regarding physical therapist treatment without referrals remain identical, including the 30-day treatment limit and referral requirements.

TECHNICAL

Removed sponsor names and bill number formatting artifacts from the Engrossed version; added Enrolled version certification language including Senate and House passage dates and vote counts.

Floor votes · House May 15, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 20, 2025

Signed into law

Signed by the Governor

executive

May 31, 2025

Upper · Passed

Signed in the Senate

upper

May 30, 2025

Lower · Passed

Signed in the House

lower

May 29, 2025

Lower · Passed

Senate passage reported

lower

May 28, 2025

Upper · Passed

Passed

upper

May 26, 2025

Upper · Passed

Committee report printed and distributed

upper

May 26, 2025

Upper · Passed

Reported favorably w/o amendments

upper

May 26, 2025

Upper · Passed

Vote taken in committee

upper

May 21, 2025

Upper · Passed

Left pending in committee

upper

May 21, 2025

Upper · Passed

Testimony taken in committee

upper

May 19, 2025

Committee

Referred to Health & Human Services

upper

May 19, 2025

Introduced

Read first time

upper

May 19, 2025

Introduced

Received from the House

upper

May 16, 2025

Lower · Passed

Passed

lower

May 15, 2025

Lower · Passed

Passed to engrossment

lower

Apr 30, 2025

Lower · Passed

Committee report sent to Calendars

lower

Apr 29, 2025

Lower · Passed

Committee report distributed

lower

Apr 17, 2025

Lower · Passed

Reported favorably as substituted

lower

Apr 14, 2025

Lower · Passed

Left pending in committee

lower

Apr 14, 2025

Lower · Passed

Testimony taken/registration(s) recorded in committee

lower

Mar 27, 2025

Committee

Referred to Public Health

lower

Mar 27, 2025

Introduced

Read first time

lower

6 primary · 41 co-sponsors