Texas · House Bill 4099 · 89th Legislature, Regular Session

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

  1. Introduced Mar 7, 2025
  2. In committee Mar 27, 2025
  3. Passed the House May 16, 2025
  4. Passed the Senate May 28, 2025
  5. To the governor May 31, 2025
  6. Became law Jun 20, 2025

Every action

55 steps, oldest first, as the legislature records them.

Show the 47 earlier steps
  1. HouseFiled
  2. HouseRead first time
  3. CommitteeReferred to Public Health · House Public Health
  4. CommitteeScheduled for public hearing on . . . · House Public Health
  5. CommitteeConsidered in public hearing · House Public Health
  6. CommitteeCommittee substitute considered in committee · House Public Health
  7. CommitteeTestimony taken/registration(s) recorded in committee · House Public Health
  8. CommitteeLeft pending in committee · House Public Health
  9. CommitteeConsidered in formal meeting · House Public Health
  10. CommitteeCommittee substitute considered in committee · House Public Health
  11. CommitteeReported favorably as substituted · House Public Health
  12. HouseComte report filed with Committee Coordinator
  13. HouseCommittee report distributed
  14. HouseCommittee report sent to Calendars
  15. HouseConsidered in Calendars
  16. HousePlaced on General State Calendar
  17. HouseRead 2nd time
  18. HousePoint of order withdrawn (Rule 4, Section 32(c)(1))
  19. HousePassed to engrossment
  20. HouseRecord vote (RV#2726)
  21. HouseStatement(s) of vote recorded in Journal
  22. HouseRead 3rd time
  23. HousePassed
  24. HouseRecord vote (RV#2842)
  25. HouseStatement(s) of vote recorded in Journal
  26. HouseReported engrossed
  27. SenateReceived from the House
  28. SenateRead first time
  29. SenateReferred to Health & Human Services
  30. SenatePosting rule suspended
  31. CommitteeScheduled for public hearing on . . . · Senate Health & Human Services
  32. CommitteeConsidered in public hearing · Senate Health & Human Services
  33. CommitteeTestimony taken in committee · Senate Health & Human Services
  34. CommitteeLeft pending in committee · Senate Health & Human Services
  35. CommitteeConsidered in public hearing · Senate Health & Human Services
  36. CommitteeVote taken in committee · Senate Health & Human Services
  37. CommitteeReported favorably w/o amendments · Senate Health & Human Services
  38. SenateCommittee report printed and distributed
  39. SenateCo-sponsor authorized
  40. SenatePlaced on intent calendar
  41. SenateRules suspended-Regular order of business
  42. SenateRead 2nd time & passed to 3rd reading
  43. SenateVote recorded in Journal
  44. SenateThree day rule suspended
  45. SenateRecord vote
  46. SenateRead 3rd time
  47. SenatePassed
  1. SenateRecord vote
  2. HouseSenate passage reported
  3. HouseReported enrolled
  4. HouseSigned in the House
  5. SenateSigned in the Senate
  6. GovernorSent to the Governor
  7. GovernorSigned by the Governor
  8. GovernorEffective on 9/1/25

Roll calls

7 recorded votes: 5 on the floor, 2 in committee. Each shows how every member voted.

Pursuant to Rule 5, Section 28, of the House Rules, Representative Zwiener requested an extension of speaking time on CSHB 4099 . — The request was not granted · Full House

Failed 42–64
May 15, 2025 · journal entry
Yes 42 No 64 Not voting 44
Democrats: 37 yes, 1 no Republicans: 5 yes, 63 no
How each member voted

Yes · 42

No · 64

Not voting · 2

Absent · 33

Excused · 9

CSHB 4099 was passed to engrossment · Full House

Passed 117–14
May 15, 2025 · journal entry
Yes 117 No 14 Not voting 19
Democrats: 42 yes, 12 no Republicans: 75 yes, 2 no
How each member voted

Yes · 117

No · 14

Not voting · 2

Absent · 8

Excused · 9

HB 4099 was passed · Full House

Passed 99–15
May 16, 2025 · journal entry
Yes 99 No 15 Not voting 36
Democrats: 43 yes, 5 no Republicans: 56 yes, 10 no
How each member voted

Yes · 99

No · 15

Not voting · 2

Absent · 9

Excused · 25

Senator Perry moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 4099 be placed on its third reading and final passage. — The motion prevailed · Full Senate

Passed 31–0
May 28, 2025 · journal entry
Yes 31 No 0
Democrats: 11 yes, 0 no Republicans: 20 yes, 0 no
How each member voted

Yes · 31

The bill was read third time and was passed · Full Senate

Passed 31–0
May 28, 2025 · journal entry
Yes 31 No 0
Democrats: 11 yes, 0 no Republicans: 20 yes, 0 no
How each member voted

Yes · 31

Committee and other votes

DateWhereQuestionResult
Apr 17, 2025 House Public Health Public Health: Reported favorably as substituted Passed 8–3
May 26, 2025 Senate Health & Human Services Health & Human Services: Reported favorably w/o amendments Passed 8–0

Sponsors

The member who introduced it, joined by 43 cosponsors: 34 Republicans, 9 Democrats.

All 43 cosponsors

From Texas's official records (ftp.legis.state.tx.us), checked Nov 1, 2026. Text links go to the official versions; LegiList does not copy bill text.