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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: ... g Orders Committee - Agenda Item 6 - Prescriptive Delegation Waiver Requests
Document: Prescriptive Delegation Waiver Requests
Texas Medical Board
P. O. Box 2029, MC-242 Austin, Texas 78768-2029 (512) 305-7030 Prescriptive delegation requirements vary according to the setting in which the prescribing occurs: Sites serving certain medically underserved Alternate practice sites populati ...
Description: ... ttee - Agenda Item 6 - Site-Specific Prescriptive Delegation Statute & Rule
Document: Quick Reference Site-Specific Prescriptive Delegation Statute & Rule
5/22/2010
Use the table below to compare requirements between the four site types. Click on the underlines to see the relevant statute or rule. Full statute and rule regarding prescriptive delegation is at the end of this documen ...
Description: Medical Board 2010 - June - Standing Orders Committee Meeting Minutes
Document: ... nd possible action regarding updated prescriptive delegation waiver request application. Ms. Garanflo presented the draft revision of the waiver request application and the Quick Reference to Site-Specific Prescriptive Delegation Statue and Rule. Ms. Garanflo advised that the Quick Reference would b ...
Description: Medical Board 2010 - October -3rd Party Payor for Medical Services Committee
Document: ... s who provide medical services to patients at the request of third parties (e.g., as court-appointed physicians, as utilization review physicians for insurance companies, etc). After discussion, the committee directed staff to draft a rule to clarify that a complaint filed by an individual against a ...
Description: Medical Board 2010 - October - Full Board Committee Meeting Minutes
Document: ... em #9, Consideration and Approval of Modification Request/Termination Request of Non-Public Rehabilitation Orders. After discussion, Mr. Turner moved, Ms. Southard seconded, and the motion passed to deny the Modification Order #476. After discussion, Mr. Turner moved, Ms. Attebury seconded, and the ...
Description: Medical Board 2010 - October - Licensure Committee Meeting Minutes
Document: ... le action regarding licensee requests:
Item 2a - Request of physician for activation of canceled physician licenses There were none. Item 2b - Request of physician to return to Active Status from Texas Retired Status There were none. Agenda Item 3
Item 3a - Applicants for pain management clinic ce ...
Description: Medical Board 2010 - October - Public Information/Profile Committee Meeting Minutes
Document: ... ive intent. Dr. Arambula moved to direct staff to request the clarification and Dr. McMichael seconded the motion. Agenda item #3, Update on electronic death certificate registration. Ms. Hopper briefed the board on new language for the physician biennial registration system that emphasizes the mand ...
Description: Medical Board 2010 - October - Standing Orders Committee Meeting Minutes
Document: ... le action on requests for waivers of prescriptive delegation requirements
The Committee considered six requests for waivers from physicians affiliated with the University of Texas Medical Branch (UTMB) in Galveston. Following discussion, requests from Radoslaw Bukowski, M.D., for an alternate pract ...
Description: Medical Board 2011 - April - Licensure Committee - Agenda Item 3b1: Applicant No. 687
Document: ... pondent regarding physical or mental condition on request [e11] [NO UNILATERAL WITHDRAWAL] Shall not withdraw from care, or treatment [e12] [NOTIFY/DISCONT'D CARE] Notify Compliance upon discontinuation of care/treatment [e14]
PRESCRIBING AUTHORITY [ ]> 16. [SELF-PRESCRIBE/FAMILY] Shall not ...
Description: Medical Board 2011 - April - Full Board Committee Meeting Minutes
Document: ... m #14, Consideration and approval of Modification Request/Termination Request of Non-Public Rehabilitation Orders. After discussion, Dr. Benavides moved, Mr. Turner seconded, and the motion passed to approve the Modified Agreed Rehabilitation Orders #659 and #660; Modification Granted of Rehabilitat ...
Description: Medical Board 2011 - April - Licensure Committee Meeting Minutes
Document: ... on, recommendation, and possible action regarding request to withdraw pain management clinic certification application. The committee discussed general policy issues related to allowing applicants to withdraw after being referred to the Licensure Committee for a determination of eligibility or being ...
Description: Medical Board 2011 - April - Standing Orders Committee Meeting Minutes
Document: ... ction relating to site -specific requirements for delegation of prescriptive authority. After discussion, Ms. Robinson advised that staff would seek stakeholder input regarding several issues: sites that qualify under more than one section of the prescriptive delegation statute, the number of PAs th ...
Description: Medical Board 2011 - August - Full Board Committee Meeting Minutes
Document: ... presented the Department of State Health Services request for comments on the use of radiation machines in the healing arts. The board directed staff to gather comments from the expert panelists to refer to DSHS. Agenda item #7, Discussion, recommendation, and possible action regarding chiropractic ...
Description: Medical Board 2011 - August - Licensure Committee Meeting Minutes
Document: ... se and upon receipt within one calendar year of a request for a physician in training permit of no less than one year, a physician in training permit may be granted by the Executive Director. Ms. Southard seconded the motion. All voted in favor. The motion passed.
Applicant #1146 appeared before th ...
Description: Medical Board 2011 - August - Standing Orders Committee Meeting Minutes
Document: ... le action on requests for waivers of prescriptive delegation requirements. The committee reviewed a request for waiver of prescriptive delegation requirements from Pilar Bescos, M.D., for an alternate practice site, a site that provides worksite health evaluations for companies in North Texas. Dr. B ...
“... 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.