All Roll Calls
Yes: 232 • No: 32
TexasHB 409989th Legislature Regular SessionHouse
Relating to the treatment of a patient by a physical therapist without a referral.
Sponsored By: Barbara Gervin-Hawkins, Cody Harris, Caroline Harris Davila, Charles Perry (Republican), Senfronia Thompson, Cody Vasut
Signed by Governor
Occupational Regulation--Health OccupationsPHYSICAL THERAPISTSBOARD OF PHYSICAL THERAPY EXAMINERS, TEXAS
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Texas patients get longer therapy without referrals
Beginning September 1, 2025, Texas physical therapists can treat patients under Occupations Code §453.301(a) without a referral for up to 30 consecutive calendar days. This replaces the previous limit of 10 business days. Therapists still must get a referral from a referring practitioner before continuing treatment beyond that period. The Texas Board of Physical Therapy Examiners must adopt rules to carry out the changes by December 1, 2025.
Sponsors & Cosponsors
Sponsors
Barbara Gervin-Hawkins
House
Cody Harris
House
Caroline Harris Davila
House
Charles Perry
Republican • Senate
Senfronia Thompson
House
Cody Vasut
House
Cosponsors
Daniel Alders
House
Keith Bell
House
César Blanco
Democratic • Senate
Benjamin Bumgarner
House
Briscoe Cain
House
Giovanni Capriglione
House
David Cook
House
Tom Craddick
House
Charles Cunningham
House
Pat Curry
House
Harold V. Dutton Jr.
House
James Frank
House
Gary Gates
House
Stan Gerdes
House
Ryan Guillen
House
Janis Holt
House
Andy Hopper
House
Carrie Isaac
House
Helen Kerwin
House
Stan Kitzman
House
Terri Leo Wilson
House
Mitch Little
House
AJ Louderback
House
David Lowe
House
J. M. Lozano
House
Shelley Luther
House
Christian Manuel
House
José Menéndez
Democratic • Senate
Terry Meza
House
Brent Money
House
Candy Noble
House
Claudia Ordaz
House
Jared Patterson
House
Katrina Pierson
House
Richard Peña Raymond
House
Keresa Richardson
House
Ana-María Rodríguez Ramos
House
Joanne Shofner
House
Valoree Swanson
House
Tony Tinderholt
House
Steve Toth
House
Ellen Troxclair
House
Erin Zwiener
House
Roll Call Votes
Senate vote • 5/28/2025
Record vote
Yes: 0 • No: 0
Senate vote • 5/28/2025
Record vote
Yes: 0 • No: 0
House vote • 5/16/2025
Record vote
Yes: 99 • No: 15
House vote • 5/15/2025
Record vote
Yes: 117 • No: 14
Senate vote • Unknown
Committee vote: Health & Human Services
Yes: 8 • No: 0
House vote • Unknown
Committee vote: Public Health
Yes: 8 • No: 3
Actions Timeline
Effective on 9/1/25
6/20/2025HouseSigned by the Governor
6/20/2025HouseSent to the Governor
5/31/2025HouseSigned in the Senate
5/31/2025SenateSigned in the House
5/30/2025HouseReported enrolled
5/30/2025HouseSenate passage reported
5/29/2025HouseRecord vote
5/28/2025SenatePassed
5/28/2025SenateRead 3rd time
5/28/2025SenateRecord vote
5/28/2025SenateThree day rule suspended
5/28/2025SenateVote recorded in Journal
5/28/2025SenateRead 2nd time & passed to 3rd reading
5/28/2025SenateRules suspended-Regular order of business
5/28/2025SenatePlaced on intent calendar
5/28/2025SenateCo-sponsor authorized
5/28/2025SenateCommittee report printed and distributed
5/26/2025SenateReported favorably w/o amendments
5/26/2025SenateVote taken in committee
5/26/2025SenateConsidered in public hearing
5/26/2025SenateLeft pending in committee
5/21/2025SenateTestimony taken in committee
5/21/2025SenateConsidered in public hearing
5/21/2025SenateScheduled for public hearing on . . .
5/21/2025Senate
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
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