H.B. No. 4099 amends the Occupations Code regarding the treatment of patients by physical therapists without a referral. The bill allows physical therapists to treat patients for up to 30 consecutive calendar days without needing a referral, an increase from the previous limit of 10 business days. Additionally, it removes the provision that previously allowed for treatment under a different subsection, thereby streamlining the process for physical therapists.

Furthermore, the bill mandates that the Texas Board of Physical Therapy Examiners adopt necessary rules to implement these changes by December 1, 2025. The act is set to take effect on September 1, 2025, ensuring that physical therapists can provide more immediate care to patients while still requiring a referral for extended treatment beyond the specified period.

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