TITLE 22. EXAMINING BOARDS

PART 16. TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS

CHAPTER 322. PRACTICE

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §322.1(a)(2)(D)-(G) relating to exceptions to referral requirement to implement changes to Texas Occupations Code §453.301(a)(3)(B) and (b) pursuant Tex. H.B. 4099, 89th R.S. (2025). Specifically, the amendment changes the number of days a physical therapist (PT) who possesses a doctoral degree in physical therapy or has completed at least 30 CCUs in the area of differential diagnosis may treat a patient without a referral from "for not more than 10 consecutive business days" to "for not more than 30 consecutive calendar days."

Additionally, the requirement for a PT to possess a doctoral degree and either has completed a physical therapy residency or fellowship or is certified by an entity approved by the board to treat a patient without a referral for not more than 15 consecutive business days has been eliminated.

The amendment is adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5416). The rule will not be republished.

There was no public comment.

The amendment is adopted under the Physical Therapy Practice Act, Title 3, Subtitle H, Chapter 453, Occupations Code, which provides the Texas Board of Physical Therapy Examiners with the authority to adopt rules consistent with this Act to carry out its duties in administering this Act.

The agency certifies that legal counsel has reviewed the adoption and found it to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on October 10, 2025.

TRD-202503667

Ralph Harper

Executive Director

Texas Board of Physical Therapy Examiners

Effective date: November 1, 2025

Proposal publication date: August 22, 2025

For further information, please call: (512) 305-6900

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §322.5(e) relating to standardize formats for and retention of records related to a patient's consent to treatment, data collection, and data sharing when providing physical therapy services via telehealth.

The amendment is adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5417). The rule will not be republished.

The adopted amendment is necessary to implement changes to Texas Occupations Code §111.004 pursuant to Tex. H.B. 1700, 89th R.S. (2025) which requires each agency with regulatory authority over a health professional providing telehealth service to adopt rules necessary to standardize formats for and retention of records related to a patient's consent to treatment, data collection, and data sharing.

There was no public comment.

The amendment is adopted under the Physical Therapy Practice Act, Title 3, Subtitle H, Chapter 453, Occupations Code, which provides the Texas Board of Physical Therapy Examiners with the authority to adopt rules consistent with this Act to carry out its duties in administering this Act.

The agency certifies that legal counsel has reviewed the adoption and found it to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on October 10, 2025.

TRD-202503668

Ralph Harper

Executive Director

Texas Board of Physical Therapy Examiners

Effective date: November 1, 2025

Proposal publication date: August 22, 2025

For further information, please call: (512) 305-6900

CHAPTER 329. LICENSING PROCEDURE

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §329.1(a)(2) relating to the exemption of the non-refundable application fee for active U.S. military service members, military spouses, or military veterans. Additionally, the Board adopts the amendment 22 TAC §329.7(b)(5) and (c) relating to exemptions from licensure for active military service members and military spouses and relating to a license in good standing with another state's licensing authority.

The amendments are adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5419). The rules will not be republished.

Specifically, the amendment to §329.1(a)(2) corrects an omission of military spouses from exemption of the non-refundable application fee, and the amendment to §329.7(b)(5) and (c) align with the changes to Texas Occupations Code §55.0041 effective September 1, 2025 and to the provisions in 50 USC 4025a: Portability of professional licenses of servicemembers and their spouses.

The following amendments are necessary to implement changes to Texas Occupations Code §55.004 and §55.0041 pursuant to Tex. H.B. 5629, 89th R.S. (2025) relating to the occupational licensing of military service members, military veterans, and military spouses.

There was no public comment.

The amendments are adopted under the Physical Therapy Practice Act, Title 3, Subtitle H, Chapter 453, Occupations Code, which provides the Texas Board of Physical Therapy Examiners with the authority to adopt rules consistent with this Act to carry out its duties in administering this Act.

The agency certifies that legal counsel has reviewed the adoption and found it to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on October 10, 2025.

TRD-202503670

Ralph Harper

Executive Director

Texas Board of Physical Therapy Examiners

Effective date: November 1, 2025

Proposal publication date: August 22, 2025

For further information, please call: (512) 305-6900

CHAPTER 341. LICENSE RENEWAL

The Texas Board of Physical Therapy Examiners adopts the amendment to 22 TAC §341.2(h), Continuing Competence Requirements, relating to the development and maintenance of an online repository for storing and tracking of continuing competence activities as part of any Request for Approval (RFP) for the continuing competence approval program.

The amendment is adopted without changes to the proposed text as published in the August 22, 2025 issue of the Texas Register (50 TexReg 5420). The rule will not be republished.

The adopted amendment is in response to the provision in Tex. S.B. 912, 89th R.S. (2025) that allows a licensing entity that has an agreement in place with a continuing education tracking system provider that is able to implement the requirements of Subchapter C, Chapter 112, Occupations Code may maintain that agreement and any costs associated with implementation of the agreement.

The Board has a Memorandum of Understanding (MOU) with the Texas Physical Therapy Association (TPTA) as the result of an RFP in 2018 and 2022 to develop, administer, and maintain a continuing competence approval system including an online repository for storing and tracking of continuing competence completion documents by licensees of Texas.

There was no public comment.

The amendment is adopted under the Physical Therapy Practice Act, Title 3, Subtitle H, Chapter 453, Occupations Code, which provides the Texas Board of Physical Therapy Examiners with the authority to adopt rules consistent with this Act to carry out its duties in administering this Act.

The agency certifies that legal counsel has reviewed the adoption and found it to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on October 10, 2024.

TRD-202503671

Ralph Harper

Executive Director

Texas Board of Physical Therapy Examiners

Effective date: October 29, 2025

Proposal publication date: August 22, 2025

For further information, please call: (512) 305-6900