🚨 What Just Happened?
On June 20, 2025, Governor Abbott signed House Bill 4099, officially extending the period during which Texans can access physical therapy without needing a referral—from the previous 10 business days to 30 calendar days, effective September 1, 2025
🩺 Why This Law Matters
HB 4099 removes administrative burdens and accelerates patient care by allowing a longer direct-access window to start treatment—plants, sprains, post-op recovery, and chronic pain, no referral required for up to a month .
📌 Who’s Eligible?
Licensed physical therapists who:
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Have practiced at least one year,
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Carry professional liability insurance,
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Hold a doctoral degree or completed ≥30 hours of differential-diagnosis training
This simplifies previous tiered rules and ensures consistent access across therapist certifications.
💡 What This Means for Patients
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Quicker care access: Start treatment sooner after injury or when pain arises.
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Potential cost savings: Fewer visits and referrals mean lower bills and less red tape.
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Empowerment: Texans can take control of their healing journey faster and more conveniently.
🗓️ When & How It Takes Effect
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Governor signed: June 20, 2025
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Effective date: September 1, 2025
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Rules in place by: December 1, 2025, via the Texas Board of Physical Therapy Examiners
After 30 days, a referral will be required to continue care.
HB 4099 modernizes physical therapy access in Texas—expanding patient autonomy, reducing administrative obstacles, and speeding up care delivery. With this change, Texans can focus on recovery, not red tape.
