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“... Licenses!
NEW Physician Fingerprinting Renewal Requirement
ALERT – Scams Targeting DEA Registrants & Other Health Professionals
Mission Statement
Our mission is to protect and enhance the public's health, safety and welfare by establishing and maintaining standards o ... ”
“... er may practice; or been granted a waiver of this requirement due to hardship;
Cannot have had a medical license suspended or revoked by another state or a Canadian province;
Cannot hold a medical license issued by another state or a Canadian province that is subject to a restriction, disciplinary o ... ”
“... nbsp;
Controlled Substance Electronic Prescribing Requirement
Effective January 1, 2021, Texas Health and Safety Code, §§481.0755 requires that prescriptions for controlled substances to be issued electronically, except in limited circumstances, or unless a waiver has been granted by the a ... ”
“... public member, unless the respondent waives that requirement.
The purpose of the ISC hearing is to provide an informal forum for the panel to review the information and for the licensee to show that he or she is in compliance with the Medical Practice Act. The complainant may also attend the ISC.
I ... ”
“... ot the calendar year).
Physician Assistant CME Requirements (biennial)
Of the 40 credit hours required:
At least 20 credit hours must be formal Category I credit provided by a CME sponsor that has been approved by the American Academy of Physician Assistants.
As part of the 20 formal ... ”
“... include 10 hours of continuing medical education (CME) related to pain management. This CME requirement applies to all personnel providing medical services to the patients (including, but not limited to: PAs, x-ray techs, phlebotomists, RNs, MAs, etc.). Office staff, such as managers, ja ... ”
“... re education.
Human Trafficking Prevention Requirement
House Bill 2059 (86th Legislature) requires physicians, physician assistants, and any licensee of the TMB’s advisory boards or committees that provide direct patient care, to complete a human trafficking prevention course approved b ... ”
“... ders may be used by a licensee to satisfy the CAE requirement. Approved providers do not submit individual courses for approval by the TSBAE. The Board rules regarding Approval of Continuing Education Courses and Providers can be found at http://www.tmb.state.tx.us/, under Laws & ... ”
“... istration if she or he has completed the required CME. However, newly licensed physicians are exempt from the CME requirement the first time they register.
Documentation of CE courses shall be made available to the Board upon request, but should not be submitted with the registration. Random a ... ”
“... on. This provision exempts the physician from all CME requirements, including the requirement involving the study of medical ethics and/or professional responsibility. This exemption is valid for a maximum of one registration.
Maintenance of Certification (MOC)
A licensee shall be presumed to ... ”
“... ior to their renewal application will satisfy the CME requirements by their residency or fellowship program.
PLEASE NOTE: This provision does not exempt the physician from the requirement for two credits involving pain management and the prescription of opioids, or the required course in the ... ”
“... rd that the licensee is unable to comply with the requirement for continuing medical education.
*Exemptions are reviewed on a case by case basis and must be requested in writing at least 30 days prior to the expiration date of the license. An exemption may not exceed one registration period, ... ”
“... be made to assure compliance.
Opioid CME Requirements
During the 86th legislative session, in an effort to combat the opioid crisis in Texas, there were multiple bills passed requiring physicians, physician assistants and other licensees to complete certain specific opioid related ... ”
“... photo is part of the fingerprinting process and a requirement. The Department of Public Safety has requested that IdentoGo maintain a 6’ distance when possible and prior to starting the appointment and that they inform the applicant it will be necessary to remove their mask for a photo.& ... ”
“... would be the only potential remediation for this requirement. This would need to be completed before submission of your application. To be eligible for licensure through the IMLCC, a physician cannot have ever been convicted, or received adjudication, deferred adjudication, community supervision, o ... ”
Description: Rule Changes December 4, 2011
Document: ... and changed the current graduate medical training requirement for graduates of foreign medical schools from three years to two years for purposes of obtaining a full Texas medical license. The amendment to §163.2, relating to Full Texas Medical License for Licensure, establishes an expedited licensu ...
Description: Rule Changes November 30, 2009
Document: ... relating to Licensure Documentation, deletes the requirement of presentation of a certificate of registration in relation to foreign medical school graduates since the Board obtains other documentation from applicants to demonstrate graduation from medical school; §163.6, relating to Examinations A ...
Description: Rule Changes September 27, 2007
Document: ... a medical directors supervision, and removes the requirement that on-line physicians be familiar with the capabilities of the pre-hospital providers, as well as local EMS operational policies and regional critical care referral protocols .
Description: Rule Changes August 20, 2009
Document: ... n of state licensure verification a discretionary requirement rather than mandatory for each applicant; §185.6, Annual Renewal of License, allows physician assistants to obtain six hours of continuing medical education (CME) per year by serving as an expert panel reviewer for the Board and deletes l ...
Description: Rule Changes August 10, 2008
Document: ... articipants in the training programs, and deletes requirement for annual reports by program directors.
Chapter 172, Temporary and Limited Licenses, with amendments to §172.1, Purpose, adds citation of Medical Practice Act to clarify authority for the chapter; §172.2, Construction and Definitions, ...
Description: Rule Changes July 03, 2007
Document: ... isiting Physician Temporary Permit, to remove the requirement of a license in another state. Chapter 173, Physician Profiles, to include amendments to 173.3, Physician Initiated Updates, requiring updates regarding address changes, conviction, or incarceration within 30 days. Chapter 182, Use of Exp ...
Description: Rule Changes June 24, 2009
Document: ... lation Guidelines, which adds an exception to the requirement in paragraph (1)(L) that a physician may only prescribe drugs to a person with whom a proper professional relationship has been established, for the prescription of drugs for a partner of a patient who may have a sexually transmitted dise ...
Description: Rule Changes May 12, 2008
Document: ... a license to be submitted in writing and deletes requirement that full board review a request for relinquishment.
Description: Rule Changes May 06, 2013
Document: ... ty Temporary License may satisfy the 10-year-rule requirement for specialty training imposed under §163.7. Chapter 175. FEES AND PENALTIES 22 TAC §175.5 The amendment provides that if an applicant or licensee dies more than 90 days after having paid a fee, the applicant's survivors may submit a writ ...
Description: Rule Changes May 06, 2009
Document: ... or licensure from 3 times to 5 times; deletes the requirement that the JP examination be passed within three attempts and provides that passage of the JP examination is not required more than once for another or similar license; clarifies that an application is expired, rather than inactive, after o ...
Description: Rule Changes April 16, 2008
Document: ... for reissuance of a revoked license, and add the requirement that a physician who wishes to have an active medical license after his license has been revoked or suspended must also demonstrate that his service would benefit the citizens of Texas, amending 167.1 Reinstatement and Reissuance of Medic ...
Description: Rule Changes May 01, 2006
Document: ... ng deleted; update names of agencies; provide the requirement to take the Biomedicine Module of the NCCAM, in accordance with statutory changes; revise functions of the licensure committee in accordance with statutory changes authorizing the acupuncture board to issue licenses; provide requirements ...
Description: Rule Changes January 25, 2006
Document: ... to intemperate use of drugs or alcohol; add the
requirement to inform and provide information to a local or statewide private medical association if the rehabilitation order requires the licensee to participate in activities or programs provided by the organization; and reorganize the rule for cla ...
Description: Rule Changes January 22, 2009
Document: ... ending 187.3, Computation of Time, clarified that requirement regarding the computation of time may be made by statute or rule. 187.4, Agreement to be in Writing, modernizes language used in the rule, 187.13, Informal Board Proceedings Relating to Licensure Eligibility, adds reference to Chapter 172 ...
Description: Rule Changes January 09, 2005
Document: ... Medical Students: Amendments to §162.1 repealing requirement that supervising physician hold clinical faculty appointment and new §162.2 adding provisions of Chapter 186, Supervision of Physician Assistant Students. Chapter 166, Physician Registration: Rule review and amendments to §166.1 relating ...
“... ce insurance. However, malpractice insurance is a requirement for privileges at many hospitals. ”
Texas statutes do not require physicians to carry malpractice insurance. However, malpractice insurance is a requirement for privileges at many hospitals.
“... ho 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. ”
I’ve been issued my NCT Registry number. How do I apply for the NCT permit to work under a physician?
The NCT permit is no longer available. 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.
“... redentialing and licensing process. FCVS is not a requirement for Texas licensure and is in no way a guarantee of licensure or of an expedited application process in Texas. FCVS will be of the greatest benefit to an applicant who is applying from a school that will not issue multiple sets of documen ... ”
What is FCVS? What information do they collect? Would this service benefit my physician licensure application?
The Federation Credentials Verification Service (FCVS) is a service created by the Federation of State Medical Boards to streamline the credentialing and licensing process. FCVS is not a requirement for Texas licensure and is in no way a guarantee of licensure or of an expedited application process in Texas. FCVS will be of the greatest benefit to an applicant who is applying from a school that will not issue multiple sets of documents or will be applying to several other states in addition to Texas. The Federation of State Medical Boards collects information regarding an applicant's identity, medical education, postgraduate training, licensure examination history, ECFMG certification, and board action history. This information is verified by the FCVS and maintained as a primary source record of a physician's credentials. FCVS will send a standard portfolio to state boards, hospitals, managed care plans, or professional societies at the applicant's request. Please note that the Texas Medical Board may require additional documentation in place of or in addition to the documentation provided within the FCVS packet. Please contact the Federation of State Medical Boards directly concerning service fees and processing times.
“... ation during a given year. If you don't meet that requirement the Executive Director may determine that certain conditions must be met before licensure can be granted. Alternatively, licensure under a non-disciplinary order limiting your practice to administrative medicine may be offered. ... ”
I haven't been practicing medicine for a while. Is that a problem?
Maybe. In order to be eligible for physician licensure in Texas you must prove that you have actively diagnosed or treated patients, or been on the active teaching faculty of a Texas medical school on a full time basis for either of the two years preceding the date of your application. The Board defines "full time" to be at least 20 hours per week for 40 weeks duration during a given year. If you don't meet that requirement the Executive Director may determine that certain conditions must be met before licensure can be granted. Alternatively, licensure under a non-disciplinary order limiting your practice to administrative medicine may be offered.
“Fingerprinting requirement for physicians is a result of legislation passed during the 88th legislative session in 2023. Similar legislation was passed during previous sessions requiring physician assistants, surgical assistants and acupuncturists to be fingerprinted. ... ”
Are the Physicians being singled out?
Fingerprinting requirement for physicians is a result of legislation passed during the 88th legislative session in 2023. Similar legislation was passed during previous sessions requiring physician assistants, surgical assistants and acupuncturists to be fingerprinted.
“No. Our Board Rules at this time specify that you have to have graduated from a CAAHEP accredited Surgical Assistant program. ”
I graduated from a Surgical Assistant educational program but it was not CAAHEP accredited. Can I still use this education for the requirement?
No. Our Board Rules at this time specify that you have to have graduated from a CAAHEP accredited Surgical Assistant program.
“... assistant within the last three years towards the requirement for 2000 hours. ”
What about my real world experience? I have worked "x" number of years as a Surgical Assistant. Does that count towards my educational requirements?
No, but you can use any experience working as a surgical assistant within the last three years towards the requirement for 2000 hours.
“... rd that the licensee is unable to comply with the requirement for CME. Exemption requests should be submitted in advance of the expiration date of a licensee's permit. ”
Are there any exemptions to the CME requirement?
Yes. A licensee may request in writing an exemption for catastrophic illness, military service of longer than one year's duration outside the United States, residence of longer than one year's duration outside the United States, or good cause shown that gives satisfactory evidence to the board that the licensee is unable to comply with the requirement for CME. Exemption requests should be submitted in advance of the expiration date of a licensee's permit.
“HB 2098 has no effect on the requirement that pain management clinics be owned by physicians. HB 2098, enacted by the 82nd Legislature, allows entities to be jointly owned by physicians and physician assistants subject to certain limitations, including percent of ownership by physician assistants. T ... ”
How does HB 2098 affect my pain management clinic ownership?
HB 2098 has no effect on the requirement that pain management clinics be owned by physicians. HB 2098, enacted by the 82nd Legislature, allows entities to be jointly owned by physicians and physician assistants subject to certain limitations, including percent of ownership by physician assistants. Tex. Occ. Code, Sec. 167.102(a), requires that a pain management clinic be owned and operated by physicians practicing in Texas under an unrestricted license. An ownership interest by anyone other than a physician is not allowed. Note: The TMB cannot give legal advice. Please consult an attorney if you have questions regarding whether or not your entity is required to report. However, the owners of entities that have not been properly reported can be investigated.
“... for less than 12 months, you are exempt from the CME requirement until your subsequent registration. ”
I just got my license this year. Do I have to complete CME before I register?
If your pro-rated initial registration is for less than 12 months, you are exempt from the CME requirement until your subsequent registration.
“No. CME is required every 2 years for Texas Physician Assistant Board and is calculated from expiration date to expiration date. It is also every 2 years for the NCCPA, but it may not be on the same schedule. In addition, you should check with the NCCPA for their current CME requirements ... ”
Is the PA continuing education requirement for NCCPA the same as that for the Board?
No. CME is required every 2 years for Texas Physician Assistant Board and is calculated from expiration date to expiration date. It is also every 2 years for the NCCPA, but it may not be on the same schedule. In addition, you should check with the NCCPA for their current CME requirements.
“... with DEA.Please note: Under Senate Bill 195, the requirement for controlled substances registration (CSR) with the Texas Department of Public Safety (DPS) was eliminated as of September 1, 2016. ”
Can a PA sign a prescription for controlled substances?
Yes, the PAs supervising physician must delegate prescriptive authority allowing a PA to sign prescriptions for controlled substances, also called scheduled drugs, as well as Dangerous Drugs. However, PA's are generally limited to Schedules III – V (Schedule IIs are allowed in very limited circumstances). All prescription drugs that are not controlled substances fall into the category of "dangerous drugs." Physician assistants with prescriptive authority must have their own DEA numbers to prescribe controlled substances. In addition, physician assistants must have the name of their current delegating physician authorizing prescriptive authority on file with DEA.
Please note: Under Senate Bill 195, the requirement for controlled substances registration (CSR) with the Texas Department of Public Safety (DPS) was eliminated as of September 1, 2016.
“... include 10 hours of continuing medical education (CME) annually in the area of pain management. This CME requirement applies to all personnel providing medical services to the patients (including, but not limited to: PAs, x-ray techs, phlebotomists, RNs, MAs, etc.). Office staff, such as managers, j ... ”
What are the continuing education requirements for pain management clinics?
Per Board Rule 172.3(d), the medical director or owner/operator of the pain management clinic, must on annual basis, ensure all personnel are properly licensed and, if applicable, have the requisite training to include 10 hours of continuing medical education (CME) annually in the area of pain management. This CME requirement applies to all personnel providing medical services to the patients (including, but not limited to: PAs, x-ray techs, phlebotomists, RNs, MAs, etc.). Office staff, such as managers, janitors, etc. who do not provide medical services, would not be required to meet the CME requirement, but would need to be listed in response to a pain clinic audit which requires listing all clinic personnel for that clinic. Documentation of the completed CME course shall be required to be made available upon request by Board Staff, including, but not limited to, during an on-site audit of the clinic, or during the certificate renewal process. The Board does have the authority to conduct audits and inspections at clinics to ensure compliance with all requirements and regulations pertaining to registered pain clinics, including audits of CME training as required.
“... ho 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. ”
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.
“... ho 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, t ... ”
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.