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“... ed and the organization utilizes appropriate peer review;
(6) the organization provides an online resource for the consumer to verify the board certification of its members; and
(7) the organization has the ability to provide a full explanation of its certification process and membership upon reques ... ”
“As a prerequisite for acupuncturist registration, practitioners are required to complete continuing acupuncture education.
Human Trafficking Prevention Requirement
House Bill 2059 (86th Legislature) requires physicians, physician assistants, and any licensee of the TMB’s advisory boards ... ”
“... the process for returning to active. Please review the entire process before submitting your request.
If you have any questions, please contact the Registration Department at Registrations@tmb.state.tx.us . ”
“As a prerequisite for physician registration, practitioners are required to complete continuing medical education. Current requirements for physicians are summarized below. If you would like to review the current rule, these requirements are currently listed Board rule 166.2 available on our w ... ”
“... or 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, but may be renewed, subject to approval.
Continuing Educ ... ”
“... rerequisite for physician assistant registration, practitioners are required to complete continuing medical education.
Documentation of CE courses shall be made available to the Board upon request, but should not be submitted with the registration. Random audits will be made to ass ... ”
“Many practitioners are required to obtain continuing education to maintain active licensure.
For information on specific continuing education requirements per license type, please select the proper link above.
”
“... an more frequent meetings be required?
How many charts must be reviewed?
Is credit given for time practiced in a supervised prescriptive authority arrangement prior to November 1, 2013?
What if an alternate physician is involved in delegation of prescriptive authority on a temporary basis?
D ... ”
“... Medical Board. For additional information please review the Texas State Auditor’s Guide to Applying for an Occupational License After Conviction or Deferred Adjudication.
Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee (s ... ”
“... riptive authority to Advanced Practice Registered Nurses (APRNs). Current registered delegations to APRNs are displayed in this section of the physician profile. ”
“... urpose of TMB. 4. Every link request must undergo review to determine its relevance and appropriateness to the purpose of TMB.
Third-Party Site Requirements
To give superior customer service to citizens and businesses accessing governmental information and services through TMB, we require that exter ... ”
“... ;
Board rule 163 in its entirety is available for review here. ”
“... p;
These fees are explained in more detail in the chart below.
Initial Biennial Registration
Length of Permit
Agency Fee
SB 104
Ofc Pt Prot Fee
PMP
Total
12 months
$ 185.00
$ 80.00
$ 5.00
$ 13.48
$ 283.48
24 months
&nb ... ”
“... echnologists, perfusionists, and respiratory care practitioners.
A. Identity and age. B. Professional education. C. Passage of professional examination. D. Professional training and ability. E. Professional character.
The procedures used to verify this information meet or exceed UR ... ”
“... 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 ... ”
Description: Press Release February 17, 2010 (PDF File)
Document: ... functions of the Quality Assurance Committee that reviews investigated complaints filed with the Board.
PROPOSED RULE CHANGES
The following proposed rule changes will be published in the March 5th Texas Register: Chapter 183, Acupuncture: proposed change to §183.4, regarding licensure, increases ...
Description: Press Release February 18, 1998 (PDF File)
Document: ... education courses recognized by the Committee for Review and Recognition of the Accreditation Council for Continuing Medical Education and sponsored by state medical societies meet the Texas State Board of Medical Examiners' requirements for continuing medical education for license renewal; Chapter ...
Description: Press Release February 20, 2008 A (PDF File)
Document: ... atement or Reissuance of License - Amendment Rule Review - §§167.1-167.8 Chapter 170, Pain Management
Rule Review - §§170.1-170.3 Chapter 175, Fees, Penalties, and Forms
§175.1, Application Fees Amendment Rule Review - §§175.1-175.5 Chapter 177, Certification of Non-Profit Organizations §177.1 De ...
Description: Press Release February 21, 2007 A (PDF File)
Document: ... advertising violations; one action based on peer review action; one action based on a criminal conviction; four voluntary surrenders; and six minimal statutory violations. Administrative penalties totaling $33,000 were assessed.
New Licenses Issued The board issued 404 licenses at the February 15- ...
Description: Press Release March 18, 2011 (PDF File)
Document: ... 3154, is impaired due to mental illness. Evidence reviewed by the panel, including information obtained from the City of Paris Police Department, demonstrates that Dr. Szumla is having delusional thoughts and hallucinations. The Temporary Suspension Hearing Without Notice took place under the Board' ...
Description: Press Release April 02, 2003 (PDF File)
Document: ... . Chapter 167, Reinstatement and Reissuance: Rule review and amendments to 163.1-.2 and .4-.6 regarding procedures for reinstatement and reissuance of a license. Chapter 169, Authority of Physicians to Supply Drugs: Rule review and amendments to 169.1-.5 and 169.7 for general cleanup of the chapter. ...
Description: Press Release April 05, 2002 (PDF File)
Document: ... ocumentation piecemeal throughout the application review process, which resulted in loss of documents and delays in processing. All applications will receive the level of scrutiny necessary to maintain the security and integrity of the process so that the public will continue to be protected by the ...
Description: Press Release April 07, 2004 (PDF File)
Document: ... the Texas Register: Chapter 163, Licensure: Rule review and amendments to §§163.1-163.7, 163.11 and 163.12 concerning eligibility for licensure and general cleanup of the rules. Chapter 164, Physician Advertising: Amendments to §164.4 concerning advertising board certification to provide a method f ...
Description: Press Release April 07, 2005 (PDF File)
Document: ... , 2003, action was taken against a Luling general practitioner based on allegations relating to improper nontherapeutic prescribing, prescribing with an expired DPS registration, and failure to provide medical records as required to support the long term prescribing of narcotics, controlled substanc ...
Description: Press Release April 10, 2009 (PDF File)
Document: ... supervise or delegate; two actions based on peer review actions; five actions based on criminal convictions; one voluntary surrender; one reinstatement after termination; one violation of a board rule; one administrative order; three temporary suspensions and one action against a surgical assistant ...
Description: Press Release April 13, 2006 (PDF File)
Document: ... n criminal convictions; two actions based on peer review actions; and five minimal statutory violations. Administrative penalties totaling $65,000 were assessed. New Licenses Issued During its April 6-7 Board meeting, the Board approved the licensure applications of 324 physicians. Rule Changes The ...
Description: Press Release April 14, 2003 (PDF File)
Document: ... welfare. The action against Dr. Trimble, a family practitioner, was taken based on allegations relating to nontherapeutic prescribing to numerous patients, failure to practice medicine consistent with public health and safety, prescribing to persons known to be habitual users of alcohol and/or drugs ...
Description: Press Release April 16, 2008 A (PDF File)
Document: ... n other states' actions; one action based on peer review action; three miscellaneous actions; and seven administrative orders based on minimal statutory violations. At its April 10-11 meeting, the Texas Medical Board issued 688 physician licenses. While continuing to issue a large number of licenses ...
Description: Press Release April 18, 2007 A (PDF File)
Document: ... from supervising physician assistants or advanced nurse practitioners; and assessing an administrative penalty of $1,000. The action was based on allegations that Dr. Arafiles failed to adequately supervise a physician assistant and failed to make an independent medical professional decision about t ...
Description: Press Release April 20, 2011 (PDF File)
Document: ... as been referred to the
Licensure committee for review, but due to a force majeure, the Licensure Committee must defer action until the Committee's next scheduled meeting, yet the provisional license is set to expire before that next committee meeting will occur. Chapter 173: Physician Profiles, a ...
“... 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.”