By: Harris Davila H.B. No. 4099 A BILL TO BE ENTITLED 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 calendarbusiness 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 Section 453.301(a-2), Occupations Code, is repealed.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.