Monitoring the Session

HB 4727

physical therapists can treat without a referral

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Brent MoneyRHouse 2

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the authority of a physical therapist to treat a patient without a referral.

Caption from analyzed text · version I.

Summary

Gone: one year of licensure, insurance and 30 training hours.

This bill lets a physical therapist treat a patient without a referral from another practitioner, and it strikes the old conditions: one year of licensure, required liability insurance, and either a doctoral degree or 30 hours of differential diagnosis training. It touches licensed physical therapists and the patients who go to them directly, and it also repeals several related subsections of the physical therapy chapter and renames the emergency care section. Starting September 1, 2025, any licensed physical therapist can see and treat a patient directly, with no referral and no extra qualifications.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 2553 by Rep. Stucky (Did not pass) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 2553 by Rep. Stucky (Did not pass). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.NEVER GOT A HEARING. Filed Mar 13, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB4727 · 2025-03-13

SOLD BY

ITEM

relating to the authority of a physical therapist to treat a patient without a referral.

WHAT IT DOES

Gone: one year of licensure, insurance and 30 training hours.

This bill lets a physical therapist treat a patient without a referral from another practitioner, and it strikes the old conditions: one year of licensure, required liability insurance, and either a doctoral degree or 30 hours of differential diagnosis training. It touches licensed physical therapists and the patients who go to them directly, and it also repeals several related subsections of the physical therapy chapter and renames the emergency care section. Starting September 1, 2025, any licensed physical therapist can see and treat a patient directly, with no referral and no extra qualifications.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 28, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Justice for Victims PAC$50,000.00

Justice for Victims PAC

$50,000.00

Cash
$50,000.00
Paid by others
$0.00
Total
$50,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Sep 25, 2025. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Sep 25, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101032028.

Texans for Truth and Liberty PAC$50,000.00

Texans for Truth and Liberty PAC

$50,000.00

Cash
$50,000.00
Paid by others
$0.00
Total
$50,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 25, 2025 to Oct 6, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101008625, 101072662.

Texas Trial Lawyers Association PAC$42,500.00

Texas Trial Lawyers Association PAC

$42,500.00

Cash
$42,500.00
Paid by others
$0.00
Total
$42,500.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 19, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100982039, 101008625, 101032028, 101052760, 101072662.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Justice for Victims PAC

$50,000.00

Cash
$50,000.00
Paid by others
$0.00
Total
$50,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Sep 25, 2025. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Sep 25, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101032028.

×

Texans for Truth and Liberty PAC

$50,000.00

Cash
$50,000.00
Paid by others
$0.00
Total
$50,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 25, 2025 to Oct 6, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101008625, 101072662.

×

Texas Trial Lawyers Association PAC

$42,500.00

Cash
$42,500.00
Paid by others
$0.00
Total
$42,500.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 19, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100982039, 101008625, 101032028, 101052760, 101072662.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 2553

by Rep. Stucky, different lead author · Did not pass · same text

Introduced text

Last action, May 8, 2023: Failed to pass

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

Caption, 88R bill history

Sources

Texas House · Filed Mar 13, 2025

04/03/2025 H Referred to Public Health: Apr 3 2025 12:38PM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Public Health · Final status: Died in committee

Subjects

Occupational Regulation--Health Occupations

PHYSICAL THERAPISTS

Text

The text as introduced · 290 words

89R15491 GP-F

By: Money
H.B. No. 4727

A BILL TO BE ENTITLED

AN ACT

relating to the authority of a physical therapist to treat a patient

without a referral.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 453.301(a), Occupations Code, is amended

to read as follows:

(a) A physical therapist may treat a patient for an injury

or condition in a manner described by Section 453.005 without a

referral [ if the physical therapist:

[ (1) has been licensed to practice physical therapy

for at least one year;

[ (2) is covered by professional liability insurance in

the minimum amount required by board rule; and

[ (3) either:

[ (A) possesses a doctoral degree in physical

therapy from:

[ (i) a program that is accredited by the

Commission on Accreditation in Physical Therapy Education; or

[ (ii) an institution that is accredited by

an agency or association recognized by the United States secretary

of education; or

[ (B) has completed at least 30 hours of

continuing competence activities in the area of differential

diagnosis ].

SECTION 2. The heading to Section 453.302, Occupations

Code, is amended to read as follows:

Sec. 453.302. PROVISION OF EMERGENCY MEDICAL CARE [ TREATING

PATIENT WITHOUT REFERRAL ].

SECTION 3. Section 453.302(b), Occupations Code, is amended

to read as follows:

(b) In an emergency circumstance, including a minor

emergency, a physical therapist may provide emergency medical care

to a person to the best of the therapist's ability [ without a

referral from a referring practitioner ].

SECTION 4. The following provisions of the Occupations Code

are repealed:

(1) Section 453.001(9);

(2) Sections 453.301(a-1), (a-2), and (b); and

(3) Section 453.302(c).

SECTION 5. This Act takes effect September 1, 2025.