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  Section 453.301(a-2), Occupations Code, is   repealed.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