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“As a prerequisite for acudetox registration, practitioners are required to complete continuing auricular acupuncture education (CAAE).
Documentation of continuing educaiton courses shall be made available to the Board upon request but should not be submitted with the registration. Random audi ... ”
“... ation coursework.
All PHYSICIAN, RESPIRATORY CARE PRACTITIONERS, ACUPUNCTURE, MEDICAL RADIOLOGIC TECHNOLOGISTS, ACUDETOX SPECIALISTS, MEDICAL PHYSICISTS AND SURGICAL ASSISTANTS licensees have access to establish a free, basic account with CE Broker. Beginning June 2, 2025, licensed physici ... ”
Description: ... uncturists, surgical assistants, respiratory care practitioners, medical radiologic technologists, medical physicists, and perfusionists. If you wish to complain to the Board, please do so in writing. Provide full name and practice address of practitioner. Also, provide dates and details of any inci ...
Document: FORM TMB
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EN
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001
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A
Licensee Complaint Form
Page
1
of
5
Texas Medical Board Licensee Complaint Form
NOTICE
IF IT IS DETERMINED THE INDIVIDUAL OR PRACTICE IDENTIFIED IN YOUR
COMPLAINT IS NOT REGULATED BY THE TEXAS MEDICAL BOARD THAT
INFORMATION, INCLUDING YOUR IDENTITY, MUST B ...
Description: TMB Consumer Brochure (2022)
Document: ... licensure analysts, call center representatives, nurse investigators, compliance officers, attorneys, and
administrative and legal assistants.
About two thirds of agency staff is based in Austin. Field investigators and compliance officers are based around
the state. For additional information ...
Description: Medical Board 2025 - March - DPRC Committee Minutes
Document: ... Surgical Assistant Respiratory Care Practitioners Med. Radiologic Technologists Medical Physicists Perfusionists Other
Cases Received
162
315
660
636
Physician Physician Assistant Acupuncturist ...
Description: Medical Board 2015 - February - Disciplinary Process Review Committe Minutes: Agenda Item 02 - TX PHP Report; Agenda Item 04 - TX Impaired Licensee Report; Agenda Item 08 - List of Potential Expert Panelists ; Agenda Item 12 - Legal Dismissals; Agenda Item 12 - Case List ...
Document: ... tion will be prosecuted.
Staff is to refer the
nurse involved in the case to the Nursing Board.
Motion carried.
Dr. Willeford moved, and Dr. Wang seconded that legal case #14
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0856 be dismi
ssed and a
letter sent to the Respondent
notifying of such dismissal, but clarifying that it is th ...
Description: Surgical Assistant License Application
Document: ... al assistant program, medical
school, registered nurse first assistant program, or surgical physician assistant program)
submitted directly to the board from the
program/school in a sealed envelope with the signature of an official of the program/school over the sealed flap.
Examination Veri ...
Description: Medical Board 2021 - June - Disciplinary Process Review Committee Minutes: Agenda Item 02: TX PHP Report; Agenda Item 04: Enforcement Report; Agenda Item 07: List of Potential Expert Panelist; Agenda Item 11: Legal Dismissals; Agenda Item 11: Case List ...
Document: ... Surgical Assistant Respiratory Care Practitioners Med. Radiologic Technologists Medical Physicists Perfusionists Other
Number of Cases pending at S.O.A.H.
48
46
25
76
Physician31351952 Physician Assistant ...
Description: Acupuncture 2001 January, Full Board
Document: ... eceived acupuncture treatment; and advertising by practitioners not licensed as acupuncturists under the heading of acupuncturists. There being no further business, Dr. Heinze moved, Mr. Garcia seconded, and the motion passed to adjourn the meeting at 2:40 p.m.
...
Description: Acupuncture 2001 May, Full Board
Document: ... phone book under the heading of acupuncturists by practitioners not licensed as acupuncturists. Dr. Levy explained that this is an ongoing problem and that staff had written to phone companies in the past expressing concern. Mr. Walker stated that he had contacted Southwestern Bell and explained tha ...
Description: Acupuncture 2007 July, AI 345 CAE Actions Taken
Document: ... w.gfcherbs.com Expanded Medical Ethics for Ethics Practitioners of Acupuncture & Oriental Medicine 4
Ethics Treating Patients with Chinese Herbal Medicine Who are Taking Western Meds 2
Herbal
Master Tungs Magic Points Advanced Series
General
36 General
Master Tungs Magic Points Beginning Serie ...
Description: List of 162.001(b) Non-Profit Health Organizations, as of 04/28/2025 *NOTE: All organizations ever certified are listed regardless of current status. Only those without a decertification date are considered active. Decertifications are due to non-renewal. ...
Document: ... .D. 450 MEDICAL CENTER BLVD NATIONAL HOUSE CALL PRACTITIONERS THOMAS MORRIS DANIEL 7710 RIALTO BLVD, STE 150 NAUTILUS MEDICAL GROUP, INC. CHRIS COKER 8813 N TARRANT PKWY., STE 250 NORTH RICHLAND HILLS NAUTILUS PHYSICIANS GROUP, INC. 8813 N. TARRANT PKWY., STE 250 NEUEHEALTH NETWORKS OF TE ...
Description: Medical Board 2021 - October - Disciplinary Process Review Committee Minutes: Agenda Item 02: TX PHP Report; Agenda Item 03: Legal Dismissals; Agenda Item 03: Case List Agenda; Item 05: Enforcement Report; Agenda Item 08: List of Potential Expert Panelist ...
Document: ... Surgical Assistant Respiratory Care Practitioners Med. Radiologic Technologists Medical Physicists Perfusionists Other
Cases Received
169
687
1012
1048
Physician Physician Assistant Acupuncturist ...
Description: TMB disciplines 16 physicians at October meeting
Document: ... ity to a physician assistant or advanced practice nurse or
supervise a surgical assistant. Dr. Williams ha
s been restricted from medical practice since September 11, 2020, and
received a medical evaluation that determined she is unable to safely practice at this time due to a mental and physical ...
Description: TMB disciplines 42 physicians at February meeting, adopts rule changes
Document: ... s in place
governing the supervision of midlevel practitioners; have his practice monitored by another physician for 16 consecutive
monitoring cycles; within one year and three attempts pass the Medi
cal Jurisprudence Exam; within one year complete
at least 36 hours of in
-
person CME, divided as ...
Description: Rule Changes Effective November 7, 2013
Document: ... eme
nt.
193.13
Delegation to Certified Registered Nurse Anesthetists
This section authorizes the delegation of the ordering of drugs and devices to a certified nurse
anesthetist in a licensed hospital or ambulatory surgical center, for the purpose of the
nurse anesthetist
administering an anesthe ...
Description: Medical Board 2014 - May - Disciplinary Process Review Committe Minutes
Document: ... ch a probati
oner is
related to
the
monitoring practitioners
by blood or marriage
within two degrees
of
relationship
.
Agenda Item #8.
Review, discussion, and possible action regarding review of probationer’s
appearances.
Dr.
Willeford
moved, and
Dr. Zeitler
secon ...
“It is recommended, but not required, that a physician have a third party such as a staff or family member serve as a chaperone during such an exam. If a chaperone is unavailable, the patient may decline the exam and may wish to consider finding another physician. ... ”
It is recommended, but not required, that a physician have a third party such as a staff or family member serve as a chaperone during such an exam. If a chaperone is unavailable, the patient may decline the exam and may wish to consider finding another physician.
“... ysician assistant or advanced practice registered nurse acting under a physician’s delegated authority) prescribes opioids, benzodiazepines, barbiturates, or carisoprodol, the patient’s prescribing history must be reviewed by the physician or advanced practice professional issuing the pr ... ”
Is the Prescription Monitoring Program (PMP) check mandated each and every time a physician or authorized delegate prescribes one of the four scheduled drug types?
Yes. Prior to and each and every time a physician or advanced practice professional (such as a physician assistant or advanced practice registered nurse acting under a physician’s delegated authority) prescribes opioids, benzodiazepines, barbiturates, or carisoprodol, the patient’s prescribing history must be reviewed by the physician or advanced practice professional issuing the prescription. For providers seeking information on how to access the PMP, please review Pharmacy Board PMP information at https://www.pharmacy.texas.gov/pmp/.
“... exact steps that an advanced practice registered nurse or physician assistant must take with respect to each specific condition, disease, or symptom, however. ”
Do I need to have a protocol in addition to a prescriptive authority agreement?
APRNs and PAs are required to have delegated authority from a licensed physician in order to provide medical aspects of patient care. Historically, this delegation has occurred through a protocol or other written authorization. Rather than requiring multiple documents, delegation protocols can now be included in one document the prescriptive authority agreement. The prescriptive authority agreement need not describe the exact steps that an advanced practice registered nurse or physician assistant must take with respect to each specific condition, disease, or symptom, however.
“A physician, advanced practice registered nurse, or physician assistant must have an active license to practice that is not suspended, delinquent, or otherwise subject to a disciplinary order that specifically prohibits the licensee from entering into a prescriptive authority agreement. ... ”
What constitutes a license that is in good standing for purposes of entering a prescriptive authority agreement?
A physician, advanced practice registered nurse, or physician assistant must have an active license to practice that is not suspended, delinquent, or otherwise subject to a disciplinary order that specifically prohibits the licensee from entering into a prescriptive authority agreement.
Note that if a licensee’s authority to supervise, delegate, or prescribe devices is limited under a board order, the licensee may enter into a prescriptive authority agreement and practice under the agreement only to the extent permitted by the board order.
“... nesthesia-related tasks to a certified registered nurse anesthetist (“CRNA”) to supervise the performance of those acts.” (Page 5)However, KP-0353 also found “…the language of chapter 157 is not the only relevant authority to consider in addressing the question of phys ... ”
When is Physician supervision of a CRNA required?
Regardless of the circumstances when supervision is or is not required, it is important to remember that the delegating physician must abide by all required federal and state statutes and regulations regarding delegation. The physician retains responsibility of the medical management of the patient. Therefore, the delegating physician must consider the delegatee’s education, training, and experience prior to delegating. Additionally, delegation may be revoked by the delegating physician at any time.
The Texas Attorney General has issued three opinions on CRNA supervision. The latest opinion found that although physician supervision of a CRNA is not required in Texas Occupations Code Sec. 157.058, other federal and state statutes and regulations may require physician supervision of a CRNA, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician, and the Legislature did not expressly limit the liability of the delegating physician.
Specifically, Texas Attorney General Opinion KP-0353 found “Section 157.058 of the Occupations Code does not, by itself, require a physician who properly delegates anesthesia-related tasks to a certified registered nurse anesthetist (“CRNA”) to supervise the performance of those acts.” (Page 5)
However, KP-0353 also found “…the language of chapter 157 is not the only relevant authority to consider in addressing the question of physician supervision over acts delegated to a CRNA. Federal regulations limiting Medicare coverage and conditioning hospital participation in Medicare and Medicaid programs require physician supervision of a CRNA when administering anesthesia in certain circumstances. See, e.g., 42 C.F.R. §§ 416.42(b)(2), 482.52(a)(4), 485.639(c)(1)(v), (2) (requiring a CRNA to operate under a physician’s supervision when administering anesthesia in certain circumstances). Furthermore, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician. See TEX. HEALTH & SAFETY CODE §§ 481.002(1)(A) (defining “administer” to require agent to apply controlled substance in presence of physician), .071(a) (prohibiting physician from causing controlled substance to be administered under physician’s “direction and supervision” except for valid medical purpose and in course of medical practice). And a CRNA may not obtain an anesthetic that is a dangerous drug unless a physician has listed that CRNA as the physician’s designated agent. See id. §§ 483.001(4) (defining “designated agent”), .022(a) (requiring physician to name each designated agent in writing). (Page 3 with emphasis added.)
Finally, KP-0353 found “Whether and the extent to which physician supervision is required for an act delegated to a CRNA will depend on the specific act delegated, the type of facility in which the CRNA performs the act, and any relevant regulations of that facility. And while section 157.058 authorizes a physician to delegate to a CRNA, a physician is never required to do so. If a physician is concerned about a CRNA’s ability to perform a delegated act or desires to limit the delegation, the physician retains the authority to refrain from delegating, to limit the delegation, or to supervise the delegation to whatever extent the physician determines necessary. In sum, the authority to delegate provided by section 157.058 of the Occupations Code does not eliminate the need to comply with all other applicable statutes, regulations, bylaws, ethical standards, and a physician’s own professional judgment. See TEX. OCC. CODE § 157.007 (“An act delegated by a physician under [chapter 157] must comply with other applicable laws.”). (Page 4 with emphasis added.)
“... 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.
“... 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.”