Bill > HB3124

This bill expands the definition and coverage of physical therapy services in Texas health benefit plans and the practice of physical therapy. It requires health benefit plans that cover inpatient physical therapy to provide coverage for services that maintain, restore, prevent loss of, or slow the decline of physical function, as well as reduce secondary health risks from physical dysfunction. The bill specifically prohibits insurers from denying coverage based on the assumption that the service will not improve a patient's physical function, which is particularly significant for patients recovering from conditions like stroke. The legislation broadens the legal definition of physical therapy to explicitly include maintaining existing physical function and slowing the progression of movement dysfunction or pain. It also expands the scope of physical therapy practice to include maintaining existing function and preventing or slowing the progression of disability. The bill applies to a wide range of health benefit plans, including individual, group, and government-sponsored programs like Medicaid and child health plans. The new provisions will take effect for health benefit plans delivered or renewed on or after January 1, 2026, with the overall act becoming effective on September 1, 2025.

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https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB3124