- My TMB |
- Contact Us |
-
-
“... ange, or some other official document.
National Practitioner Data Bank/Health Integrity Data Bank Self-Query Response - Contact the National Practitioner Data Bank (NPDB)/Healthcare Integrity and Protection Databank (HIPDB) at http://www.npdb.hrsa.gov/ and perform a self-query. Send ei ... ”
“... ;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 the list of applicants to be granted permanent licensure at the next Board meeting. An email (or hard co ... ”
“... iate
o licensed vocational nurse
o licensed registered nurse
o licensed physician assistant
· Provide that such practice of acudetox is not prohibited by the regulatory ag ... ”
“... chemical dependency counselor
licensed vocational nurse
licensed registered nurse
provided that such practice of acudetox is not prohibited by the regulatory agency authorizing such practice
Work under protocol and have access to a licensed Texas physician or a licensed Texas acupuncturist read ... ”
“... must be completed.
See HHSC's Health Care Practitioner Human Trafficking Training page to access the approved courses and for more information about this requirement.
The remaining 20 credit hours may be from Category II, composed of:
informal self-study,
attendance at hospital lect ... ”
“... ialties
Education
Hospital Privileges
Utilization Review
Patient Services
Awards, Honors, Publications
Malpractice Information
Criminal History
Non-TMB Disciplinary Actions
Physician Assistant Supervision
Advanced Practice Nurse Delegation
”
“... rtified radiological technician, respiratory care practitioner, medical physicist, or perfusionist.
Please note that this evaluation is not a guarantee of eligibility for licensure. Applicants must meet all licensure requirements that are in place at the time of their licensure application su ... ”
“... p;
These fees are explained in more detail in the chart below.
Initial Biennial Registration
Length of Permit
Agency Fee
Ofc Pt Prot Fee
Total
6 months
$166.25
$5.00
$171.25
9 months
$249.38
$5.00
$254.38
12 months
... ”
“... edical Radiologic Technologists,
Respiratory Care Practitioners,
Medical Physicists,
Perfusionists and
Surgical Assistants.
Nurses: TMB does not have the authority to investigate a nurse for care provided within the scope of nursing. If your complaint involves a licensed nurse, you should re ... ”
“... ied radiologic technicians, respiratory care practitioners, medical physicists, and perfusionists licensed by the State of Texas. (This includes Physician Profiles and verifications for other licensees. All of our databases provide links to view Board Orders, where applicable).
In addition ... ”
“... alth Education Programs (CAAHEP),
2) a registered Nurse First Assisting program,
3) a Surgical Physician Assistant program or a
4) a full medical school (and receipt of a physician's degree).
Worked 2000 hours within the last 3 years as a Surgical Assistant.
Taken and passed one of the thre ... ”
“... a reasonable time;
contact requestors who wish to review records to set up a mutually agreeable time for doing so;
ask for a ruling from the Office of the Attorney General regarding any information to be withheld, and inform the requestor of this request for ruling;
segregate public information from ... ”
“... bsp; Requestors may review it at a time mutually acceptable to the requestor and the agency. If it cannot be produced within 10 working days, the public information department will notify the requestor in writing of the reasonable date and time when it will be available ... ”
“... During licensing, a licensure analyst will review and verify all the information contained in the application and the supporting documentation. More information will be requested by a licensure analyst if the previously submitted documentation is not complete and/or contains errors.&nbs ... ”
“... 0-164, 169-177, 179-189.
Current Board Rules
Rule Review Reorganization Matrix
Adopted Rule Changes
TMB also provides an archive of adopted rule changes by calendar year and effective date going back to 1998. To access this archive on the Publications section of the website click on the l ... ”
Description: Rule Changes January 07, 2001
Document: ... profiles. Chapter 199, Public Information - rule review and proposed amendments to §§ 199.1-.4 to correct the name of the Public Information Committee to the Public Information/Profile Committee and make other miscellaneous administrative corrections.
...
Description: Rule Changes January 06, 2002
Document: ... rocess. Chapter 166, Physician Registration. Rule review and proposed amendments to 166.1-166.6 regarding general cleanup, CME temporary licenses, SB1300 (30-day grace period to practice with an expired permit) and voluntary charity care provided to indigent populations. Chapter 173, Physician Profi ...
Description: Rule Changes January 02, 2013
Document: ... to submit medical records or otherwise have staff review impairment issues as part of the application process. The amendment to §171.6 changes a single reference of "PIT holder" to "physician" since program director reporting requirements apply to all participants, not just PIT holders.
CHAPTER 172 ...
Description: Rule Changes December 22 and 25, 2011
Document: ... ative law judges, but the Board may seek judicial review. In addition, all sanction determinations are to be determined by the Board. The amendment to §187.38, relating to Motions for Rehearing, establishes the process for the Board to seek judicial review of an ALJ determination by filing a motion ...
Description: Press Release January 25, 2003 (PDF File)
Document: ... ns in cases of deferred adjudication; use of peer review actions; rule changes regarding stays and injunctions; and additional use of information related to medical malpractice lawsuits. Information on physician disciplinary actions, including access to board orders, is available through the board's ...
Description: Press Release January 31, 2007 A (PDF File)
Document: ... operation of a private pain management clinic. A review of randomly selected medical charts revealed that all of the patients reviewed were chronic pain patients who were receiving virtually the same narcotics, muscle relaxants and benzodiazepines. All received a "pain cocktail" and all were prescr ...
Description: Press Release February 09, 2005 (PDF File)
Document: ... optimal pain management was withdrawn for further review and comment. Proposed Rule Changes The Board proposed the following rule changes for publication in the Texas Register and comment: Chapter 182, Use of Experts: Proposed new §182.7 regarding the use of Executive Committee members to make inter ...
Description: Press Release February 06, 2006 (PDF File)
Document: ... unprofessional conduct; one action based on peer review actions; two actions based on inadequate medical records; two actions based on violations of probation or prior orders; two voluntary surrenders; one action based on other state board actions; and 10 administrative violations. Administrative p ...
Description: Press Release February 10, 2009 A (PDF File)
Document: ... dicalSchool and Physician Assistant Student: rule review and amendments to §162.1, Supervision of Medical Students. Chapter 171. Postgraduate Training Permits : repeal of§171.7, Inactive Status. Chapter 172, Temporary and Limited Licenses : amendments to §172.4, State Health Agency Temporary License ...
Description: Press Release February 11, 2000 (PDF File)
Document: ... cts provided to physicians by licensed vocational nurses through electronic communications, was withdrawn. For copies of rule changes or proposed rules, write the Board at MC 901, P.O. Box 2018, Austin, TX 78768-2018, or e-mail jill.wiggins@t mb.state.tx.us
...
Description: Press Release February 11, 2004 (PDF File)
Document: ... Proposed changes to Chapter 163, Licensure. Rule review and proposed amendments to §§163.1-163.7, 163.11 and 163.12 concerning eligibility for licensure and general clean up. Chapter 164, Physician Advertising, proposed amendment to §164.4 regarding advertising board c ertification. Chapter 175, Fe ...
Description: Press Release February 13, 2003 (PDF File)
Document: ... egister: Chapter 164, Physician Advertising: Rule review with no recommended changes. Chapter 183, Acupuncture: Amendment to §§183.1-183.4 and 183.6-183.18 for general cleanup of the chapter. Chapter 184, Surgical Assistants: Amendments to §§184.4, 184.6 and 184.8 regarding licensure documentation, ...
Description: Press Release February 14, 2002 (PDF File)
Document: ... Register : Chapter 161, General Provisions: rule review, repeal of 161.1-161.5, and new 161.1-161.13, regarding the purpose and function of the board, clarification of its organization and structure, and description of each committee s responsibilities. Chapter 163, Licensure: amendments to 163.1-1 ...
Description: Press Release February 15, 2008 A (PDF File)
Document: ... on criminal convictions; one action based on peer review actions; and 13 minimal statutory violations. Proposed Rules and Rule Changes from the February 7-8 board meeting will be issued in a separate release next week. DISCIPLINARY ACTIONS Open records requests for orders may be made to openrecords@ ...
Description: Press Release February 16, 2011 (PDF File)
Document: ... of $2,000 within 60 days; and require Dr. Avila's chart monitor, as set forth in a 2010 Order, to focus on the monitoring of anesthesia records. The action was based on Dr. Avila's failure to meet the standard of care in his treatment of a patient who underwent a steroid injection procedure and suff ...
“... iod for the expiration date of a Respiratory Care Practitioner permit. Once the expiration date has occurred, a penalty fee equal to one half of the registration fee will be added. After 90 days, the penalty fee will increase to equal a full registration fee. If a license has been expired for one ye ... ”
What is the penalty for renewing past the expiration date?
There is no grace period for the expiration date of a Respiratory Care Practitioner permit. Once the expiration date has occurred, a penalty fee equal to one half of the registration fee will be added. After 90 days, the penalty fee will increase to equal a full registration fee. If a license has been expired for one year or longer it is automatically cancelled.
“Applications are submitted online. Please review the NCT page in our Licensure section for additional requirements and instructions. ”
How do I apply for the NCT registry?
Applications are submitted online. Please review the NCT page in our Licensure section for additional requirements and instructions.
“... n 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 ac ... ”
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.
“... atus 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. ”
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.
“... dical Board does not have licensing authority for nurses. ”
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.
“... omplete information would include the date of the review and the identity of the provider who reviewed the information. ”
What amount of detail must be in the documentation of the PMP check?
As with all medical records documentation, the notation must be contemporaneous, legible and provide complete information. In this case, complete information would include the date of the review and the identity of the provider who reviewed the information.
“... that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription. ”
Is only the prescriber allowed to check the PMP, or can someone else check on behalf of the physician?
A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription.
“... re 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/
“... rofile page will list the waiver status. For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website. ”
Do delegates who have prescribing authority have to apply for their own waiver or are they covered by the supervising physician’s waiver?
If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means. If a prescribing delegate is issuing a prescription under the authority of a physician who does not have a waiver, then the prescribing delegate must issue the prescription via e-prescribing.
If an individual wants to look up whether a prescribing delegate has a waver they can do so as listed below:
For physician assistants: A PA’s waiver status will not be viewable on their TMB public profile. Each PA’s public profile has a link to their supervising physician’s profile page. The physician’s profile page will list the waiver status.
For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website.
“... o; If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s public profile. You can look up a prescriber’s public profile here: Look up a LicenseNOTE: Per the Texas State Board of Pharmacy, a “pharmaci ... ”
How can someone determine if a practitioner has a waiver?
If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s public profile. You can look up a prescriber’s public profile here: Look up a License
NOTE: Per the Texas State Board of Pharmacy, a “pharmacist is not responsible for ensuring there is a waiver. In addition, there is no requirement of the pharmacist to ensure an appropriate waiver is granted.”