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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
”
“... completed, signed and notarized form to the Texas Medical Board via an overnight courier service, such as FedEx, DHL, or UPS, you will need to use the location address of:
Texas Medical BoardAttention: Registration1801 Congress Avenue, Suite 9.200Austin, TX 78701
Should you choose ... ”
“... izens of Texas through licensure, discipline, and education.
Acupuncture Board Member Biographies
Acupuncture Board Committees
Acupuncture Board History
Acupuncture Board Member Listing & Terms Adobe® Portable Document Format (PDF) File
Reaffirmation of Standards to Practice Acupunctu ... ”
“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 ... ”
“... specific information.
About the Agency
The Texas Medical Board is a state regulatory agency. We serve and protect the public's welfare by ensuring our licensed healthcare professionals are competent and provide quality patient health care, and by educating consumers regarding their rights in seekin ... ”
“... , 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. ... ”
“... Board of Acupuncture Examiners.
Pre-Acupuncture Education. Request each undergraduate school you attended submit a transcript to you in an unopened envelope with a signature of a school official across the outside envelope flap.
Form L-PA/AC Physician Assistant Licensure Evaluation. You must ... ”
“... IDGE UNIVERSITY, HONOLULU, HI
0523
ORIENTAL MEDICAL INST OF HAWAII, HONOLULU, HI
0524
UNIV. OF HEALTH SCIENCE, HONOLULU, HI
0525
UNIVERSITY OF SCIENCES, BATON ROUGE, LA
0526
NEW ENGLAND SCHOOL OF ACUP, WATERTOWN, MA
0527
MINSHEW ACUP SCH, COLUMBIA FALLS, MT
0528
I ... ”
“... quo; answers to questions on the Professionalism, Medical Liability section of the application.
Once all items have been received, and have been reviewed and approved by the appropriate members of Board staff, your application will be considered complete and your name will be added to ... ”
“... at the verification be sent directly to the Texas Medical Board.
Verification of CCAOM Clean Needle Technique course contact the entity where you took this course and examination and request that they furnish you a verification in a sealed envelope with the providers signature across the outside of ... ”
Description: TMB Bulletin March 2012
Document: The newsletter of the Texas Medical Board, Texas Physician Assistant Board and Texas State Board of Acupuncture Examiners
March 2012
Physician texting trend could pose some potential problems
Text messaging has one of the highest and fastest response rates compared to phone calls and email. Anecdo ...
Description: TMB Bulletin January 2012
Document: The newsletter of the Texas Medical Board, Texas Physician Assistant Board and Texas State Board of Acupuncture Examiners
January 2012
Remedial plans replace disciplinary action in some cases
A new, non-disciplinary option improve their practices. Regives some licensees another medial Plans are pu ...
Description: TMB Bulletin December 2012
Document: The newsletter of the Texas Medical Board, Texas Physician Assistant Board and Texas State Board of Acupuncture Examiners
December 2012
Prescriptive Delegation Waiver Requests
The board has authority to waive or modify any of the site or supervision requirements for a physician delegating prescrip ...
Description: Rule Changes December 30, 2007
Document: ... r 196, Voluntary Relinquishment or Surrender of a Medical License , amending 196.2, Surrender Associated with Disciplinary Action, updating language; and 196.3, Surrender Associated with Impairment, updating language. Chapter 198, Unlicensed Practice, amending 198.2, Complaints, to make appropriate ...
Description: Rule Changes December 29, 1997
Document: ... or the complete board rules. Chapter 165.1-165.3, Medical Records chapter reorganized, changes mainly pertain to record retention.
Description: Rule Changes December 23, 1997
Document: ... clarify which CME courses involving the study of medical ethics and/or professional responsibility are recognized by the board to be in compliance with CME requirements. Chapter 174.16, Telemedicine new section outlining requirements for annual registration of telemedicine license holders. Chapter ...
Description: Rule Changes December 18, 2011
Document: ... GRADUATE TRAINING PERMITS 22 TAC §171.6 The Texas Medical Board (Board) adopts the amendment to §171.6, concerning Duties of Program Directors to Report, with minor changes to the proposed text as published in the September 16, 2011, issue of the Texas Register (36 TexReg 6112). The text of the rule ...
Description: Rule Changes December 4, 2011
Document: ... AC §§163.1, 163.2, 163.6, 163.7, 163.11 The Texas Medical Board (Board) adopts amendments to §§163.2, 163.6, 163.7 and 163.11, concerning Licensure, without changes and §163.1 with minor grammatical changes to the proposed text as published in the September 16, 2011, issue of the Texas Register (36 ...
Description: Rule Changes November 30, 2009
Document: ... no longer needed; §163.2, relating to Full Texas Medical License, is based on House Bill 3674 passed by the 81st Legislature to allow applicants for licensure to demonstrate board certification to satisfy requirements relating to substantial equivalence of medical education and permits applicants w ...
Description: Rule Changes November 30, 2003
Document: ... complete board rules. Chapter 162, Supervision of Medical School Students. Repeal of §§162.1162.3, and new §162.1 regarding the requirements for Texas physicians who supervise medical school students in Texas. Chapter 163, Licensure. Amendments to §§163.1, 163.5, 163.6, 163.10, 163.13 regarding gene ...
Description: Rule Changes November14, 2000
Document: ... complete board rules. Chapter 162, Supervision of Medical School Students - proposed amendment to §162.2 regarding exemptions. Chapter 165, Medical Records - proposed amendment to §165.2, regarding the time frame for release of medical records. Chapter 170, Authority of Physician to Prescribe for th ...
Description: Rule Changes November 07, 2004
Document: ... Definitions, Licensure for United States/Canadian Medical School Graduates, Licensure for Graduates of Acceptable Unapproved Medical Schools, Licensure Documentation, and Examinations Accepted for Licensure. Chapter 171, Postgraduate Training Permits. Rule review, repeal and replacement of §§171.1-1 ...
Description: Rule Changes October 17, 2010
Document: ... itions, define distant site provider, established medical site, face-to-face visit, patient site location, patient site presenter; amend the definitions for physician-patient e-mail, telemedicine medical services; and deletes the definition for telepresenter. The Board has determined that it is nece ...
Description: Rule Changes September 28, 2006
Document: ... k here for the complete board rules. Chapter 165, Medical Records, amendments to 165.1 Medical Records and the addition of 165.6, Medical Records Regarding an Abortion on an Unemancipated Minor. Chapter 175, Fees, Penalties, and Forms, to include amendments to 175.2, Registration and Renewal Fees, r ...
Description: Rule Changes September 27, 2007
Document: ... pert testimony relates to the standard of care or medical malpractice. Chapter 176, Health Care Liability Lawsuits and Settlements, amending 176.1 Definitions; 176.2 Reporting Responsibilities; 176.4 Timeframes and Attachments; 176.6 Penalty; 176.8 Board Review of Health Ca re Liability Lawsuits and ...
“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.
“... uest 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.
“... ur 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 w ... ”
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.
“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.
“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 cons ... ”
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."
“... 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.
“... 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
“... on. 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 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
“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.
“... 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.
“... 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.
“... 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