Regular Session
Government Affairs & Regulatory Compliance Analysis
HB4099 expands the statutory authority for physical therapists to treat patients without a referral from 10 business days to 30 consecutive calendar days, effective September 1, 2025. This legislation removes previous credentialing restrictions, granting all licensed physical therapists this authority, but necessitates immediate updates to intake protocols and insurance verification processes to avoid claim denials.
Rep. Caroline Harris Davila·House Bill·Regular Session
Texas Board of Physical Therapy Examiners
This legislation has regulatory implications for the following Texas businesses and organizations:
Notable regulatory updates (effective 2025-09-01). Consider how these changes may affect your operations.
Affected business types:
lowMinimal cost impact anticipated.
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JD Key Consulting provides strategic guidance on Texas regulatory compliance and legislative impact for your business.
Key implementation requirements and action items for compliance with this legislation
The statute is effective in September, but the Board has until December to define the nuances. Watch for TBPTE rulemaking regarding:
JD Key Consulting specializes in Texas regulatory compliance strategy. Work directly with James Dickey—former Chairman of the Republican Party of Texas—to understand this bill's impact on your operations and develop an actionable compliance plan.
Schedule a ConsultationInformation presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.
This bill's path through the Texas Legislature
Explore more bills from this author and on related topics
Common questions about HB4099
HB4099 expands the statutory authority for physical therapists to treat patients without a referral from 10 business days to 30 consecutive calendar days, effective September 1, 2025. This legislation removes previous credentialing restrictions, granting all licensed physical therapists this authority, but necessitates immediate updates to intake protocols and insurance verification processes to avoid claim denials.
HB4099 was authored by Texas Representative Caroline Harris Davila during the Regular Session.
HB4099 was signed into law by Governor Greg Abbott on June 20, 2025.
HB4099 is enforced by Texas Board of Physical Therapy Examiners.
The regulatory priority for HB4099 is rated as "moderate". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of HB4099 is estimated as "low". This may vary based on industry and implementation requirements.
HB4099 addresses topics including occupational regulation, occupational regulation--health occupations, physical therapists and board of physical therapy examiners, texas.
Key dates for HB4099: Effective date is 2025-09-01. Rulemaking: Adopt rules necessary to implement the amended Section 453.301, specifically regarding the transition to the 30 consecutive calendar day limit. (2025-12-01). Consult with legal counsel regarding applicability.
HB4099 primarily affects healthcare providers and medical facilities. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.
JD Key Consulting is an Austin, Texas-based government affairs firm led by James Dickey, former Chairman of the Republican Party of Texas. We specialize in Texas regulatory compliance and legislative strategy for data centers, energy, banking, and manufacturing.
