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“... courses shall be made available to the Board upon request but should not be submitted with the registration. Random audits will be made to assure compliance.
If you have any questions regarding continuing education requirements, please email us at registrations@tmb.state.tx.us .
The ... ”
“... prescribing requirement by:
submitting a waiver request to the TMB and providing required information, and
demonstrating circumstances necessitating a waiver from the requirement, including
economic hardship, including:
any special situational factors affecting either the cost of compliance or a ... ”
“Exemptions:
A licensee may request in writing an exemption* for the following reasons:
the licensee's catastrophic illness;
the licensee's military service of longer than one year's duration;
*Exemptions are reviewed on a ca ... ”
“... tions@tmb.state.tx.us.
Upon receipt of the request with the required documentation, TMB staff will evaluate the documentation and contact the clinic about the initial audit.
Pain Management Gold Designated Application Form
Gold Designated Practice - Approved Clinics ... ”
Description: PA Board 2008 May, Full Board Minutes
Document: ... orking on the agencys proposed legislative budget request. Agenda item #5, Consideration and Approval of Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. After discussion, Dr. Mitchell moved, Ms. Chapman seconded, and the motion passe ...
Description: PA Board 2008 May, Licensure Committee
Document: ... tion was considered in absentia at the applicants request by the Committee in executive session after referral by the Executive Director. In open session, Dr. Mitchell moved to recommend to the full Board that the applicant be granted a Texas physician assistant temporary license with an expiration ...
Description: PA Board 2002 November, Full Board Min
Document: ... enda item #4, a report regarding the Prescriptive Delegation Waiver Advisory Committee, was next. Ms. Jaime Garanflo, Director of Customer Affairs, updated the board members regarding the work of the Prescriptive Delegation Waiver Advisory Committee. A list of the committee members was given to the ...
Description: PA Board 2002 November, Lic Min
Document: ... including screening for alcohol or drugs, at the request of a representative of the Board; (3) be solely responsible for the payment of all costs and charges by any facility which conducts screens; (4) work with on-site supervision at all times, and (5) if a drug screen turns up positive his/her li ...
Description: PA Board 2003 November, Full Board
Document: ... Agenda item #4, report regarding the Prescriptive Delegation Waiver Committee requests and proposed changes to board rules 193.6 concerning applications for waivers and meetings of the Waiver Committee, was next. Ms. Garanflo gave a report on proposed changes that will be considered for adoption at ...
Description: PA Board 2004 November, Full Board
Document: ... Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. After discussion, Dr. Hedges moved, Ms. Clark seconded, and the motion passed to approve the Termination Request Order #22 to be effective May 22, 2005, if respondent is in compliance. ...
Description: PA Board 2005 November, Full Board
Document: ... ed changes to Chapter 193.2 Definitions and 193.6 Delegation of the Carrying Out or Signing of Prescription Drug Orders to Physician Assistants and Advanced Practice Nurses. Agenda item #4, Report of the Physician Assistant Workgroup meeting and presentation and discussion of draft rules. Ms. Shacke ...
Description: PA Board 2005 November, Licensure
Document: ... g cancellation of Physician Assistant licenses by request and for nonpayment. Following discussion, Mr. Bendeck moved, to recommend to the full Board that the 46 licenses listed be approved for cancellation by request and for nonpayment of registration fees. Ms. Clark seconded. All voted in favor, a ...
Description: PA Board 2006 November, Licensure
Document: ... o recommend to the full board that action on this request for reactivation from Inactive status be deferred for no longer than one year, assuming the applicant is in a position to return to work within that time. Staff is directed to maintain the application materials and fees until that time. Upon ...
Description: PA Board 2007 November, Full Board Minutes
Document: ... agencys budget including the supplemental funding request received during the end of FY 2007. Ms. McFarland noted that the agency only keeps approximately 51% of the general revenue it receives from fees.
Ms. McFarland next discussed the new automated budgeting system to be used by the Finance Dept ...
Description: PA Board 2008 November, Full Board Minutes
Document: ... n gave a report on the Legislative Appropriations Request and the Exceptional Items requested. Ms. Robinson report that the mini Sunset Review documented the agencys success in accomplishing licensure goals and the current challenges in meeting increased enforcement demands. Ms. Robinson gave a repo ...
Description: PA Board 2008 October, Licensure Action Item 4
Document: ... pondent regarding physical or mental condition on request [e11] [NO UNILATERAL WITHDRAWAL] Shall not withdraw from care, or treatment [e12] [NOTIFY/DISCONTD CARE] Notify Compliance upon discontinuation of care/treatment [e14] #727 2 years Yes, quarterly
yes
yes
yes
PROBATION APPEARANCES st 28. [ ...
Description: Medical Board 2006 April Dprc
Document: ... iew, discussion and possible action regarding the request for approval of proposed practice setting for a probationer: Discussion was held and staff was directed to send a custom letter to the probationer requesting additional information. The item was deferred to the next Board meeting. Agenda item ...
Description: Acupuncture 2001 January, Full Board Min
Document: ... Chris Butler, L.Ac., was deferred, at Mr. Butlers request, until the next Acupuncture Board meeting. Agenda item #4, regarding comments on request for Attorney General Opinion relating to acupuncturists performing spinal manipulation, was next. Mrs. Shackelford briefed the board on comments received ...
Description: Acupuncture 2001 November, Full Board
Document: ... ed on the attached list, due to nonrenewal and by request. There being no further business, Ms. Newbold moved, Dr. Voris seconded, and the motion passed to adjourn the meeting at 4:25 p.m.
“... ian 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. ”
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.
“Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then us ... ”
I just found out that my fingerprints were rejected. May I immediately request new fingerprint cards?
Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint.
“... live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical Board at Screen-CIC@tmb.state.tx.us if they are an applicant, or at Registrations@tmb.state.tx.us if they are a licensee. When emailing the request, please include a current mailing address. ... ”
Will I automatically be sent fingerprint cards if I enter an out-of-state address when I apply?
No, fingerprint cards are not automatically sent out to applicants. Because not all applicants reside at the mailing address of record when they submit their online applications, it is the responsibility of the applicant to verify whether or not they can be live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical Board at Screen-CIC@tmb.state.tx.us if they are an applicant, or at Registrations@tmb.state.tx.us if they are a licensee. When emailing the request, please include a current mailing address.
“... e contact us at Registrations@tmb.state.tx.us and request your 6-digit ID number and instructions for your fingerprint submission. ”
What is my Board issued 6-digit ID number?
A Board issued 6-digit ID number is required for submitting your fingerprints. This 6-digit ID number is assigned at the time of application submission. This 6-digit ID number will be included in your post card and email renewal reminders. If you wish to submit your fingerprints early, please contact us at Registrations@tmb.state.tx.us and request your 6-digit ID number and instructions for your fingerprint submission.
“... endent 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 ... ”
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.
“... 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 procedur ... ”
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.
“... m. 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. ... ”
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.
“... 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 p ... ”
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:
“... at record.For more information on how to submit a request, please review the Pharmacy Board’s Patient Access Program page, found here: https://www.pharmacy.texas.gov/patient-access/ ”
May patients or patient guardians request a copy of their PMP history, including who has accessed that history?
Yes. A patient, the patient’s parent or legal guardian if the patient is a minor, or the patient’s legal guardian if the patient is an incapacitated person, may receive a copy of the patient’s PMP record, including a list of who has accessed that record.
For more information on how to submit a request, please review the Pharmacy Board’s Patient Access Program page, found here: https://www.pharmacy.texas.gov/patient-access/
“... ck your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile. ... ”
How will I be notified if I am granted a waiver?
If you are granted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.
“... rrently no limit to the number of waivers you may request. ”
How many times can I reapply for a waiver?
There is currently no limit to the number of waivers you may request.
“... us at Registrations@tmb.state.tx.us and request your 6 digit ID number and instructions for your fingerprint submission.*Please note that completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. Your registration window will only open withi ... ”
Can I complete the fingerprint requirement early?
Yes, you can complete the fingerprint requirement at any point prior to your license expiration date. You do not need to wait for your expiration date. If you wish to submit your fingerprints early, please contact us at Registrations@tmb.state.tx.us and request your 6 digit ID number and instructions for your fingerprint submission.
*Please note that completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. Your registration window will only open within 60-90 days of your license expiration date.