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 Section 453.301(a-2), Occupations Code, is repealed.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