Texas 89th Legislature, Regular Session Status: To Executive

HB 4099 — Relating to the treatment of a patient by a physical therapist without a referral.

Last action — Effective on 9/1/25

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been sent to the executive. Introduced March 07, 2025. It awaits signature.

Signed by Governor Greg Abbott (Republican) on June 20, 2025.

Next likely step: the executive signs it into law or issues a veto.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 52% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 46 sponsors

    1 primary, 45 co-sponsors signed on.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Relating to the treatment of a patient by a physical therapist without a referral.

Bill Text

We don't have the full text on file for this bill yet.

Read HB 4099 on the official Texas source →

Action History

  1. Effective on 9/1/25

  2. Signed by the Governor

  3. Sent to the Governor

  4. Signed in the Senate

  5. Signed in the House

  6. Reported enrolled

  7. Senate passage reported

  8. Record vote

  9. Passed

  10. Read 3rd time

  11. Record vote

  12. Three day rule suspended

  13. Vote recorded in Journal

  14. Read 2nd time & passed to 3rd reading

  15. Rules suspended-Regular order of business

  16. Placed on intent calendar

  17. Co-sponsor authorized

  18. Committee report printed and distributed

  19. Reported favorably w/o amendments

  20. Vote taken in committee

  21. Considered in public hearing

  22. Left pending in committee

  23. Testimony taken in committee

  24. Considered in public hearing

  25. Scheduled for public hearing on . . .

  26. Posting rule suspended

  27. Referred to Health & Human Services

  28. Read first time

  29. Received from the House

  30. Reported engrossed

  31. Statement(s) of vote recorded in Journal

  32. Record vote

  33. Passed

  34. Read 3rd time

  35. Statement(s) of vote recorded in Journal

  36. Record vote

  37. Passed to engrossment

  38. Point of order withdrawn

  39. Read 2nd time

  40. Placed on General State Calendar

  41. Considered in Calendars

  42. Committee report sent to Calendars

  43. Committee report distributed

  44. Comte report filed with Committee Coordinator

  45. Reported favorably as substituted

  46. Committee substitute considered in committee

  47. Considered in formal meeting

  48. Left pending in committee

  49. Testimony taken/registration(s) recorded in committee

  50. Committee substitute considered in committee

  51. Considered in public hearing

  52. Scheduled for public hearing on . . .

  53. Referred to Public Health

  54. Read first time

  55. Filed

Sponsors

Sponsorship breakdown

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1 sponsors · 45 co-sponsors · 138 not signed on

Sponsors (1)

Co-sponsors (45)

Not signed on (138)

138 members have not signed on to this bill.

Show all 138 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 4099 do?
Relating to the treatment of a patient by a physical therapist without a referral.
Who sponsors HB 4099?
HB 4099 is sponsored by Cody Vasut, Charles Cunningham, Erin Zwiener, David Cook, Caroline Harris Davila, Cody Harris, Barbara Gervin-Hawkins, Senfronia Thompson, Daniel Alders, Keith Bell, Ben Bumgarner, Briscoe Cain, Giovanni Capriglione, Tom Craddick, Harold V. Dutton, Jr., Pat Curry, James B. Frank, Gary Gates, Stan Gerdes, Ryan Guillen, Janis Holt, Andy Hopper, Carrie Isaac, Helen Kerwin, Stan Kitzman, Mitch Little, AJ Louderback, David Lowe, J. M. Lozano, Shelley Luther, Leo Wilson, Christian Manuel, Thresa "Terry" Meza, Brent Money, Candy Noble, Claudia Ordaz, Jared Patterson, Katrina Pierson, Richard Peña Raymond, Keresa Richardson, Ana-María Rodríguez Ramos, Joanne Shofner, Valoree Swanson, Tony Tinderholt, Steve Toth, and Ellen Troxclair.
What is the current status of HB 4099?
This bill has been sent to the executive. Introduced March 07, 2025. It awaits signature.
Where can I track HB 4099?
Track HB 4099 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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