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“... RN or PA have?
Do the requirements for types of practice sites still apply?
What is a dangerous drug? Are these legend drugs?
Is prescriptive authority required to order durable medical equipment (DME)?
Do I have to produce my prescriptive authority agreement or facility-based protocol ... ”
“... periodic meetings if the physician and APRN or PA practice together at the same location?
Must the meetings be conducted in a face-to-face manner?
Are there other requirements with respect to the meetings?
Can more frequent meetings be required?
How many charts must be reviewed?
Is credit gi ... ”
“... tate that is a member of the Compact, and wish to practice in multiple states.
Are there any criteria in addition to what is required by the IMLCC for being licensed in Texas through this system?
There are no additional requirements to receive your license in Texas through the IMLCC. However, ... ”
“... exas medical students, residents, and fellows, to practice within the confines of the sponsoring institution. The sponsoring institution may be:
an accredited Texas medical school;
The University of Texas Health Science Center at Tyler;
The University of Texas M.D. Anderson Cancer Center;
an instit ... ”
“... cian delegates prescriptive authority to Advanced Practice Registered Nurses (APRNs). Current registered delegations to APRNs are displayed in this section of the physician profile. ”
“... links to access laws and rules information:
Laws/Practice Acts
Board Rules
For more information, including frequently asked questions and open record requests, please click on the links below:
Open Records
FAQs
... ”
“... minates employment, or otherwise leaves a medical practice, he or she is responsible for:
ensuring that patients receive reasonable notification and are given the opportunity to obtain copies of their records or arrange for the transfer of their medical records to another physician; and
notifying t ... ”
“... n of a professional license from another state to practice that profession in Texas while stationed in Texas. Recognition requires proof that the individual is currently licensed in good standing in another state and has current orders assigning the servicemember to Texas. The recognition, once appr ... ”
“... of physician assistants cannot interfere with the practice of medicine by a physician owner or the supervision of physician assistants by a physician owner
a physician cannot contract with, or be employed by, a physician assistant as a supervising physician
a physician assistant cannot contract with ... ”
“... ricted medical license to qualified physicians to practice medicine in Texas. Applicants who do not qualify for a full medical license may qualify for a limited license or permit. The Licensure Department of the Texas Medical Board is committed to furthering the mission of the Board by e ... ”
“... ian assistant license to qualified individuals to practice in Texas. In addition to a license, physician assistants in Texas must practice under the supervision of one or more supervising physicians, and if prescribing drugs, must have a prescriptive delegation agreement with their supervising ... ”
“In 1837, the Medical Practice Act was written by Dr. Anson Jones, one of the few formally trained physicians in Texas at that time. The Congress of the Republic of Texas then created the Board of Medical Censors for the purposes of administering examinations and granting medical licenses. The Board ... ”
“... dated by state statute, including: regulating the practice of medicine in Texas through registration of physicians; determining a physician’s eligibility for licensure; conducting investigations based on complaints filed against physicians; and exercising authority to cancel, revoke, suspend, ... ”
“... exemptions from the prohibition of the corporate practice of medicine to include a hospital in a county with a population of less than 50,000, a hospital designated as a critical access hospital, or a hospital that is a sole community hospital.
... ”
“... cupations Code includes the enabling statutes and practice acts for physicians, physician assistants, acupuncturists, surgical assistants, medical radiologic technologists, medical physicists, perfusionists, and respiratory care practitioners. The relevant chapters are listed below.
The compl ... ”
Description: Rule Changes July 03, 2007
Document: ... e upon incarceration under 164.058 of the Medical Practice Act. Chapter 190. Disciplinary Guidelines, to include amendments to 190.8, Violation Guidelines, providing on -call back-up by person who is not licensed or does not have training or experience, and prohibition against physician subject to a ...
Description: Rule Changes June 29, 2006
Document: ... llection, modifications to voluntary charity care practice by retired physicians, and general rule cleanup. Chapter 171, Postgraduate Training Permits , to include clarification of reporting requirements, modifications to requirements for board-approved postgraduate fellowship training programs, and ...
Description: Rule Changes June 28, 2011
Document: ... professional conduct as defined under the Medical Practice Act. http://www.sos.state.tx.us/texreg/archive/June242011/adopted/22.EXAMINING%20BOA RDS.html#361
Chapter 195, Pain Management Clinics: Amendment to §195.2 concerning Certification of Pain Management Clinics, establishes the procedures for ...
Description: Rule Changes May 13, 2012
Document: ... d where a licensee is in violation of the Medical Practice Act do not require that the Board dismiss the case. In cases relating to violations of treatment of tick-borne diseases, a mitigating factor to be considered by the Board is if the licensee completed CME on the topic within two years prior t ...
Description: Rule Changes May 10, 1998
Document: ... ain wording to ensure continuity with the Medical Practice Act and to be consistent with current terminology by changing Advisory Board of Osteopathic Specialists to Bureau of Osteopathic Specialists. Chapter 175, Fees and Penalties, amendment to 175.2, which will increase the penalty fees for delin ...
Description: Rule Changes May 09, 1999
Document: ... ce of intent to supervise and notice of intent to practice forms. Chapter 193, Standing Delegation Orders, sections 193.2, relating to the definition of the word "submit."
Description: Rule Changes May 09, 2002
Document: ... delegation of prescriptive authority to alternate practice sites as specified in SB1166. Effective May 9, 2002.
Description: Rule Changes May 06, 2013
Document: ... icensure 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 LIMITED LICENSES 22 TAC §172.8 The amendment clarifies that time spent under a Faculty Tem ...
Description: Rule Changes May 06, 2009
Document: ... to §189.4, Limitations on Physician Probationer's Practice, adds a provision recognizing Board Rule 185.2(19), which provides that a physician with a restricted license may not supervise or delegate prescriptive authority to a physician assistant. http://www.sos.state.tx.us/texreg/archive/May12009/a ...
Description: Rule Changes May 05, 2011
Document: ... ent that affects a licensee's ability to actively practice medicine, the licensee shall be given the opportunity to place the license on retired status, convert the license to an administrative medicine license, cancel the license, or be referred to the Texas Physician Health Program. http://www.sos ...
Description: Rule Changes May 02, 2010
Document: ... MINING%20BOARDS. html#383 Chapter 198, Unlicensed Practice: new amendments delete language regarding cease and desist orders which is moved to Chapter 187; amends §198.3, Investigation of Complaints; repeals §198.4, Cease and Desist Order; repeals §198.5, Contested Cease and Desist Proceeding; and r ...
Description: Rule Changes March 05, 2000
Document: ... ndment will clarify the provisions of the Medical Practice Act under which physicians holding training permits may be disciplined. Chapter 173, Physician Profiles - proposed new 173.1-173.7, concerning information to be collected by the board as mandated by House Bill 110, 76th Legislature. Chapter ...
Description: Rule Changes March 05, 2000
Document: ... ndment will clarify the provisions of the Medical Practice Act under which physicians holding training permits may be disciplined. Chapter 173, Physician Profiles - proposed new 173.1-173.7, concerning information to be collected by the board as mandated by House Bill 110, 76th Legislature. Chapter ...
Description: Rule Changes March 07, 2012
Document: ... of their occurrence, applies to both mailing and practice address changes. CHAPTER 177. BUSINESS ORGANIZATIONS 22 TAC §§177.16, and 177.17 The Texas Medical Board adopted amendments to §§177.16 and 177.17, concerning Business Organizations. The amendment to §177.16, relating to Physician Assistants ...
Description: Rule Changes March 07, 2002
Document: ... ding physician assistants not currently in active practice and reactivation of an inactive license.
“... al, or only the last name and the city where they practice. If you still have issues, please contact us at (512) 305-7010 for a verbal verification. ”
When I search for my physician, I get a “No records Match” message. Does my physician have a license in Texas?
You may be entering too much information in your search. Try entering in only the last name and first initial, or only the last name and the city where they practice. If you still have issues, please contact us at (512) 305-7010 for a verbal verification.
“... icense in this status is not an active license to practice medicine in Texas. However, a licensee with this status has maintained their registration requirements while the license is suspended, and should that suspension be lifted, the license can return to an active status without additional regist ... ”
This physician’s profile shows “Registration Status: Suspended, Active”. How can a license be suspended and active at the same time?
The registration status “Suspended, Active” is a suspended status. A license in this status is not an active license to practice medicine in Texas. However, a licensee with this status has maintained their registration requirements while the license is suspended, and should that suspension be lifted, the license can return to an active status without additional registration requirements.
“... physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA would be carried out by the Texas Board of Nursing under the authority of the Nursing Practice Act. Ultimate re ... ”
Is a CRNA under a valid delegation order, subject to discipline by the Texas Medical Board under the Medical Practice Act for a violation of the standard of care in the selection and administration of anesthesia or the care of an anesthetized patient?
No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA would be carried out by the Texas Board of Nursing under the authority of the Nursing Practice Act. Ultimate responsibility and accountability for the medical management of a patient under anesthesia remains with the delegating physician who may be subject to discipline for improper delegation dependent upon the facts and circumstances of each case, and how state statutes and regulations apply in those situations.
“... MP history is accessed, the physician or advanced practice provider must ensure that the review is documented in the patient’s medical record. ”
Must I document the PMP check? Each and every time?
Yes. Each time the patient’s PMP history is accessed, the physician or advanced practice provider must ensure that the review is documented in the patient’s medical record.
“... approved a hardship exemption, prior to starting practice. ”
Why was the NCT permit eliminated?
In the 2017 legislative session, SB 674 changed the law so that the Texas Medical Board is no longer required to register NCTs who work for physicians. What remains is the requirement that NCTs obtain placement on the MRT Board’s general registry, or have an approved a hardship exemption, prior to starting practice.
“... approved a hardship exemption, prior to starting practice.The NCT Registry and the NCT Permit were renewed separately. Under current rules and regulations, the NCT registry is on a biennial (2 year) renewal schedule. Before elimination by statutory changes, the NCT permit was an annual ... ”
Why can’t I register my NCT permit and my NCT registry at the same time?
In the 2017 legislative session, SB 674 changed the law so that the Texas Medical Board is no longer required to register NCTs who work for physicians. What remains is the requirement that NCTs obtain placement on the MRT Board’s general registry, or have an approved a hardship exemption, prior to starting practice.
The NCT Registry and the NCT Permit were renewed separately. Under current rules and regulations, the NCT registry is on a biennial (2 year) renewal schedule. Before elimination by statutory changes, the NCT permit was an annual renewal.
You will need to continue to renew your NCT Registry listing or hardship exemption to continue to practice as an NCT in Texas.
“... w able to offer the ability to update mailing and practice addresses online for the majority of our licensees. To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an a ... ”
How do I change my address with the Texas Medical Board?
As part of the “My TMB” system, we are now able to offer the ability to update mailing and practice addresses online for the majority of our licensees.
To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an account if you do not have one already.
“No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without del ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.
“To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact th ... ”
My physician license is currently in a retired status. How to I return it to an active status so I can practice?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure.
“... g physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation. APRNs should look to guidance provided by the Texas Board of Nursing ... ”
Do I have to let the Medical Board know about my delegates/supervising physicians?
Yes, if you are a physician or a physician assistant.
Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.
PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation.
APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.
“To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. Please contact the Registration department for information on the approval procedure.If the request is granted, it may be granted without conditions or subject to such c ... ”
Are there any additional requirements that I need to complete before I request to return my retired physician license to an active status?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. Please contact the Registration department for information on the approval procedure.
If the request is granted, it may be granted without conditions or subject to such conditions which the board determines are necessary to adequately protect the public. Requests are reviewed on a case by case basis.
Below are some examples of conditions that may be required (alone or in combination) to return a retired license to an active status:
“... ways you can qualify for a waiver. If you or your practice is experiencing any of the following, you may qualify for a waiver: By experiencing economic hardship. When evaluating whether you are experiencing economic hardship, consider: special situational factors which affect either the cost of comp ... ”
How do I qualify for the waiver?
There are three different ways you can qualify for a waiver. If you or your practice is experiencing any of the following, you may qualify for a waiver:
On the waiver form, you will have to specify any of the above categories you are experiencing.
“Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group. ”
Does everyone at my practice have to apply for a waiver or just the medical director?
Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.
“... re granted a waiver, it applies to all your Texas practice locations. ”
Do I need a waiver for each of my practice locations?
No. If you are granted a waiver, it applies to all your Texas practice locations.