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“... ires a separate certificate.
When applying for PMC registration the following documentation will be requested:
NPDB/HPDB – The clinic’s primary owner, the clinic’s proposed medical director if different, and all physician owners must contact the National Practitioner D ... ”
“The Texas Medical Board is the state agency charged with keeping Texas patients safe through the licensure and regulation of Texas physicians. The TMB staff also serves as staff for the Texas State Board of Acupuncture Examiners, the Texas Physician Assistant Board, the Texas Board of Medical R ... ”
“Licensee Resources Forms
Click on the link to the left to expand the forms list. ”
“... o;s rulemaking process follows all required steps for notice and publication in the Texas Register including opportunities for public comment. Rule drafting and proposed rule changes include input from a wide variety of stakeholders based on periodic stakeholder meetings.
The frequency of rule ... ”
“The Texas Medical Board receives and reviews about 9,000 complaints a year from patients, patient family members, health care professionals and other sources. After a complaint is received, staff analysts first determine whether the complaint is “jurisdictional.” In other words, is the c ... ”
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How do I obtain a copy of my medical records?
What are reasonable fees for medical records?
What are reasonable fees for billing records?
What are reasonable fees for hospital records?
How long do physicians have to keep medical records?
My physician closed his office. How do I get my me ... ”
“... rance?
Can I file a liability claim through the Medical Board against my physician?
How do I file a complaint?
Are complaints public information?
What information is available on a physician’s Profile?
I’m looking for a physician of a particular specialty. Does the “Look ... ”
“The Texas Medical Board (TMB) is committed to making its Web site accessible to all users. To make the site more accessible, we include several features designed to improve accessibility for users with disabilities. Some of these features are described below..
A descriptive text equivalent is provid ... ”
“... nce at various academic institutions in the Texas Medical Center. These include: Leukemia Service, Neurosurgery and Medical Breast Oncology at MD Anderson Cancer Center, and Pediatric Cardiology at Texas Children’s Hospital. She has also been an Assistant Professor at UTMB Acute Care Nurse Pra ... ”
“Provides helpful information about the Texas Medical Board, its disciplinary process, how to research a licensee, and how to file a complaint.
TMB Consumer Brochure
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“... process and all requirements. To be eligible for inactive status, the license holder must have a current registration permit and have a license in good standing.
To request a change to the Inactive status for a Texas Respiratory Care Practitioner certificate, complete and return the inactive r ... ”
“In 1993, the 73rd Texas Legislature amended the Medical Practice Act to create a Texas State Board of Acupuncture Examiners. The legislators found that the "review and establishment of statewide standards for the training, education and discipline of persons performing acupuncture are in the public ... ”
“... ining, physician assistants, acupuncturists, medical physicists, medical radiologic technologists, non-certified radiological technicians, perfusionists, and respiratory care practitioners.
Visit the following link, and accept usage terms, to view available reports: htt ... ”
“... h Texans). The Compact provides information for the public, consumers, and customers on the agency’s mission, programs, principles and standards of customer service, and helpful contact information.
If you wish to file a complaint against the agency, please see the section below for spec ... ”
“... , M.D., of Houston, is the President of the Texas Medical Board. He is a Board Certified Anesthesiologist and is the Vice-Chair of the Clinical Governance Board for US Anesthesia Partners for the Gulf Coast region as well as a member of the Clinical Governance Board for US Anesthesia Partners Texas. ... ”
Description: Rule Changes May 12, 2008
Document: ... the changes effective on May 12, 2008. Click here for the complete board rules. Chapter 162, Supervision of Medical Schools, amending §162.1 Supervision of Medical Schools, updates the names of the Texas Medical Board and provides limited circumstances for when a physician who is employed by the fed ...
Description: Rule Changes May 10, 1998
Document: ... fective 05-10-98 are summarized below. Click here for the complete board rules. Chapter 163, Licensure, amendments to 163.1, 163.3, 163.5-163.7, 163.12, 163.14, and 163.15, which will remove or change certain wording to ensure continuity with the Medical Practice Act and to be consistent with curren ...
Description: Rule Changes May 09, 1999
Document: ... new rules that are effective 05-0999. Click here for the complete board rules. Chapter 162, Supervision of Medical School Students, section 162.3, relating to registration requirements. Chapter 163, Licensure, section 163.10, distinguished professors temporary license. Chapter 166, Physician Regist ...
Description: Rule Changes May 06, 2013
Document: ... TAC §163.7 The amendment revises the 10-year rule for applicants who have not passed a licensure examination listed in §163.6 so that the practice of medicine for at least six months under a faculty temporary license is added as a substitute for specialty certification. Chapter 172. TEMPORARY AND LI ...
Description: Rule Changes May 06, 2009
Document: ... the changes effective on May 6, 2009. Click here for the complete board rules. Chapter 166, Physician Registration, with amendments to §162.2 Continuing Medical Education, would allow members of the Board's Expert Physician Panel up to 12 hours of formal continuing Medical Education for time actual ...
Description: Rule Changes May 05, 2011
Document: ... of the changes effective May 5, 2011. Click here for the complete board rules: CHAPTER 164. PHYSICIAN ADVERTISING 22 TAC §§164.2, 164.4, 164.6 The Texas Medical Board (Board) adopts amendments to §164.2, concerning Definitions, §164.4, concerning Board Certification, and §164.6, concerning Required ...
Description: Rule Changes March 04, 2004
Document: ... that were effective on March 4, 2004. Click here for the complete board rules. Chapter 165, Medical Records. Amendments to §§165.1 and 165.2 and new §165.5 concerning medical records. The amendments clarify the definitions for medical records and maintenance of records and add Health Insurance Port ...
Description: Rule Changes March 04, 1998
Document: ... fective 03-04-98 are summarized below. Click here for the complete board rules. Chapter 163.1 and 163.8, Licensure amendments to 163.1 and 163.8 which will ensure that all examination requirements are consistent and equal. Specifically, that all examinations for licensure must be passed with three a ...
Description: Rule Changes March 05, 2000
Document: ... he changes that are effective 03-0500. Click here for the complete board rules. Chapter 163, Licensure - proposed amendments to §163.1 and 163.5, regarding licensure examinations and official translations of documents. Chapter 171, Institutional Permits - proposed amendment to 171.1, concerning perm ...
Description: Rule Changes March 18, 2013
Document: ... applicant unless the member receives preapproval for such written statement from the board's executive committee. Chapter 163. LICENSURE 22 TAC §163.2 The amendment to §163.2 clarifies that applicants from unapproved medical schools in the United States and Canada may still qualify for licensure th ...
Description: Rule Changes March 05, 2000
Document: ... he changes that are effective 03-0500. Click here for the complete board rules. Chapter 163, Licensure - proposed amendments to §163.1 and 163.5, regarding licensure examinations and official translations of documents. Chapter 171, Institutional Permits - proposed amendment to 171.1, concerning perm ...
Description: Rule Changes March 09, 2009
Document: ... he changes effective on March 9, 2009. Click here for the complete board rules. Chapter 162, Supervision of Medical School and Physician Assistant Student, with amendments to §162.1, Supervision of Medical Students, provides for the supervision of a medical student who is not enrolled at a Texas med ...
Description: Rule Changes March 07, 2012
Document: ... 2012. Visit the TMB's Laws, Rules & FAQs web page for more information. CHAPTER 173. PHYSICIAN PROFILES 22 TAC §173.1, §173.3 The Texas Medical Board adopted amendments to §173.1, concerning Profile Contents; and §173.3, concerning Physician-Initiated Updates. The amendment to §173.1 clarifies what ...
Description: Rule Changes March 07, 2002
Document: ... 1, and 185) and 3-11-02 (Chapter 173). Click here for the complete board rules. Chapter 161, General Provisions. Rule review, repeal of §§161.1-161.5, and new §§161.1-161.13, regarding the purpose and function of the board, clarification of its organization and structure, and delineate each committe ...
Description: Rule Changes April 16, 2008
Document: ... e changes effective on March 16, 2008. Click here for the complete board rules. Chapter 161, General Provisions , amending 161.7 Executive Director, authorizes the Executive Director to delegate responsibilities and authority to other staff members,. Chapter 166, Physician Registration, amending 166 ...
“... ey will be returned to the sender. A vendor signs for and delivers these items to our agency. Even if a tracking mechanism is used, the signature confirming receipt of items delivered to the mailing address will be that of a vendor employee, making confirmation of delivery more difficult. Deliv ... ”
How do I send the Supplemental information for my PIT application?
Personal statements can be sent by e-mail, fax, regular or overnight mail. Documents and third party information can be sent by regular or overnight mail, or fax, if the documents are less than 10 pages.
• E-mail to pit.applications@tmb.state.tx.us.
Fax to (888) 550-7516 Attn: PIT Permits
• Overnight and Regular mail - We recommend using one of the private overnight delivery services that allow tracking to submit all required items. These services require delivery to a physical address and a phone number. Delivery by a private overnight service to our physical address usually allows you to obtain immediate online confirmation of delivery from the carrier.
Items mailed through the US Postal Service (regular, certified, express, or overnight), must be addressed to our mailing address, or they will be returned to the sender. A vendor signs for and delivers these items to our agency. Even if a tracking mechanism is used, the signature confirming receipt of items delivered to the mailing address will be that of a vendor employee, making confirmation of delivery more difficult.
Delivery Physical Address and Phone
• Texas Medical Board, 1801 Congress Avenue, Suite 9-200, Austin, TX 78701
Phone – (512) 305-7030
Mailing address
• Texas Medical Board, P.O. Box 2029, Austin, TX 78768
“... e reflected on the receipt. You can keep one copy for your records and use the other copy to request reimbursement from your residency program or medical school. ”
How can my residency program or medical school reimburse my PIT application fee?
Be sure to make at least two copies of the Receipt page when you complete your online application. The amount you paid will be reflected on the receipt. You can keep one copy for your records and use the other copy to request reimbursement from your residency program or medical school.
“Yes. They must register with the TMB for bulk payment processing. Your program will receive a third party identification number which they should make available to you, if they wish to pay your application fee. On the payment page of the online application, select "Pay by Third Party Payment". Enter ... ”
Can my residency program (or other third party) pay my PIT application fee?
Yes. They must register with the TMB for bulk payment processing. Your program will receive a third party identification number which they should make available to you, if they wish to pay your application fee. On the payment page of the online application, select "Pay by Third Party Payment". Enter the third party identification number you were given in the "Third Party ID" field. Note: This number should not be confused with the TMB personal identification number, or your ACGME, AOA, or TMB Program Identification number. Be sure to enter a valid email address. You will receive an email if the application fee has not been paid within seven days. Your application will not be submitted to the Texas Medical Board until the fee has been paid. Entering an incorrect third party identification number will mean that your program, or other third party payer, is prevented from paying for your application, and you will have to submit a new application with the correct third party identification number or choose another form of payment.
“... censing analyst AFTER you submit your application for details on proving "exhaustive attempts." ”
I graduated from a Medical School overseas and it is difficult for me to obtain a certified transcript of my scores and classes from them. Can I submit a copy of this from my own files?
No. If you are unable to obtain a certified copy of your transcript directly from the school you will have to prove that you have made "exhaustive attempts" to obtain it. Your file will have to be reviewed by our Executive Review Group before a determination of acceptability can be made. Please consult your licensing analyst AFTER you submit your application for details on proving "exhaustive attempts."
“... your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc. ”
What do I need to do to change the name I use professionally?
You must provide us with a statement that gives an explanation of your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc.
“... n now be updated online in most situations. For those license types that cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address ... ”
Can I give my change of address over the phone?
No. However, changes in mailing or practice addresses can now be updated online in most situations. For those license types that cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address
“... However, you should allow at least 5 working days for the processing of the form, the fee and posting to the computer system. ”
Is the registration payment due before the expiration of a license?
Yes. The completed registration application and payment are due on or before the expiration date of the permit. However, you should allow at least 5 working days for the processing of the form, the fee and posting to the computer system.
“... ensees who choose to register through a hard copy form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required. ”
Is it the same price to register online or by hard copy?
No. An additional processing fee of $50 will be charged to those licensees who choose to register through a hard copy form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
“... ion.You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018 ”
How do I retrieve my username and/or password for the HCE verification system if I lost it?
If you are not able to locate your username and password, please submit a written request on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information.You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018
“Please submit a written request for the contact update on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information. You may submit your written request to: Texas Medical Board Attn: HCE R ... ”
How do I update the contact name for my registered HCE for the verification system?
Please submit a written request for the contact update on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information. You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018
“... ly and safely performed by the person to whom the medical act is delegated; 2) the act is performed in its customary manner; and 3) the performance of the act by the delegate is not in violation of any other statute.It is clear that AAs can be delegated certain tasks under Chapter 157. The question ... ”
What are the general rules related to AAs/CRNAs?
The authority to delegate is found in Chapter 157 of the Texas Occupations Code, and Title 22 of the Texas Administrative Code, Section 193. A physician is allowed to delegate certain duties to a qualified and properly trained person acting under the physician’s supervision:
1) if in the opinion of the delegating physician the act can be properly and safely performed by the person to whom the medical act is delegated;
2) the act is performed in its customary manner; and
3) the performance of the act by the delegate is not in violation of any other statute.
It is clear that AAs can be delegated certain tasks under Chapter 157. The question is the extent allowable of such delegation. The key provision that needs to be examined is likely “not in violation of any other statute.”
Although the Nursing Act describes what a CRNA can do in regard to anesthesia, there is overlap of regulation of CRNAs between the Medical Board and Nursing Board. CRNAs are subject to physician delegation under the Medical Practice Act. The delegating physician can limit what a CRNA is allowed to provide under a Prescriptive Authority Agreement (PAA) or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
The level of supervision required for any AA (or any delegated provider) is determined based on training, knowledge, and experience, as determined by the physician. For CRNAs, whether any level of physician supervision is required will depend upon those same factors, in addition to applicable federal and state statutes, regulations, bylaws, and ethical standards, if any. However, AAs and CRNAs cannot practice independently and require physician delegation. A hospital or facility can set their own standards, policies, etc., related to delegation and supervision as long as it does not violate Chapter 157, board rules, or other applicable federal and state statutes and regulations. Although AAs most commonly work under an anesthesiologist physician, any physician may supervise and delegate to AAs; however, the standard of care must be met and the delegating physician remains responsible for the AA’s actions.
One difference between an AA and CRNA is the ability to order and prescribe dangerous and controlled substances to patients for anesthesia and anesthesia-related services. Under section 157.058, a CRNA pursuant to the physician’s order and in accordance with facility policies or bylaws may select, obtain, and administer those drugs appropriate to accomplish the order. The physician’s order for anesthesia or anesthesia-related services is not required to specify a drug, dose, or administration technique.
As previously stated, the Nursing Act describes what a CRNA can do in regard to anesthesia. However, the delegating physician or facility can limit what a CRNA is allowed to provide under a PAA or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
While AAs are not allowed to select drugs, determine dose, or administration technique for anesthesia or anesthesia-related services without specification by the supervising physician through an order, they perform many of the other same key duties performed by CRNAs. These duties include conducting preoperative physical exams, administering medications, evaluating and responding to life-threatening situations, setting up external and internal monitors, and implementing general and site-specific anesthetic techniques.
Another area of concern relates to handing-off patient care from CRNAs to AAs. RNs have the authority to delegate certain nursing tasks to unlicensed individuals; however, a CRNA and AA do not have any specific delegation authority concerning anesthesia tasks. A physician has the authority to delegate the process of anesthesia-related patient care, including the transfer or hand-off of care from a CRNA to an AA through an order (standing or patient-specific) or protocol. A CRNA or AA cannot set-up or independently delegate a hand-off or step-down process.
While the Nursing Act places responsibility for patient hand-off on a CRNA, if the physician orders a hand-off process from CRNA to AA, and this is memorialized in orders, protocols, etc., then the CRNA does not have the authority to determine the AA is not competent. The reason is that the physician has already made the determination of competency under Chapter 157.001.
Because the CRNA’s authority also arises through the delegating physician, and is not independent of that physician, a CRNA cannot override a physician Order related to this hand-off scenario. If this hand-off became an issue, the CRNA would have a defense (absolute) because the physician has already determined the competency of the AA to accept this patient.
“The biennial registration fee for office-based anesthesia is a total of $210, per physician and should be combined with the biennial registration.For off cycle OBA registration, please submit a hard copy registration form with the correct pro-rated fee. Please note that payments for the i ... ”
How much does OBA registration cost?
The biennial registration fee for office-based anesthesia is a total of $210, per physician and should be combined with the biennial registration.
For off cycle OBA registration, please submit a hard copy registration form with the correct pro-rated fee. Please note that payments for the incorrect OBA pro-rated fee will be voided, causing a delay in the registration process. You may email us to request a pro-rated registration form at registrations@tmb.state.tx.us.
“... tten request by mail, fax or email to: Texas Medical BoardAttn: Registration DepartmentP.O. Box 2029 MC 240Austin, TX 78768 fax - (888) 512-2581 ”
How do I verify what level of OBA services an individual is registered for?
Verifications of OBA registration are available on request. Please submit a written request by mail, fax or email to:
Texas Medical Board
Attn: Registration Department
P.O. Box 2029 MC 240
Austin, TX 78768
fax - (888) 512-2581
“... need to complete at least 24 hours of continuing medical education each year, at least half of which must be in formal courses. One hour of formal CME must be in medical ethics and/or professional responsibility. A physician must report on the registration form if she or he has completed the requir ... ”
Is a physician required to complete CME to register a license?
Yes. Physicians need to complete at least 24 hours of continuing medical education each year, at least half of which must be in formal courses. One hour of formal CME must be in medical ethics and/or professional responsibility. A physician must report on the registration form if she or he has completed the required CME. However, newly licensed physicians are exempt from the CME requirements the first time they register.
“... ice of medicine must not include the provision of medical services for either direct or indirect compensation which has monetary value of any kind and the physician's practice is limited to voluntary charity care to indigent populations and receives no direct or indirect compensation of any kind for ... ”
Is there an exemption for retired physicians providing voluntary charity care?
Yes. A retired physician whose only clinical practice is the provision of voluntary charity care to indigent populations shall be exempt from the registration fee but must register the license as well as report CME. The physician's practice of medicine must not include the provision of medical services for either direct or indirect compensation which has monetary value of any kind and the physician's practice is limited to voluntary charity care to indigent populations and receives no direct or indirect compensation of any kind for medical services rendered. Also, the physician's practice cannot include the provision of medical services to family members or the self-prescribing of controlled substances or dangerous drugs. A physician who violates the provisions of this exemption may be subject to disciplinary action. Action may be based on unprofessional or dishonorable conduct likely to deceive, defraud, or injure the public if the physician engages in the compensated practice of medicine, provides medical services to members of the physician's family, or self-prescribes controlled substances or dangerous drugs. Additionally, a physician who attempts to obtain this exemption by submitting false or misleading statements shall be subject to disciplinary action pursuant to the Medical Practice Act, in addition to any civil or criminal actions provided for by the state or federal law.