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“... by the Texas State Board of Acupuncture Examiners based on a review and recommendation of the course content by the Education Committee of the board (see “List of Current Approved Courses” below),
are offered by Approved Providers (see “List of Current Approve ... ”
“... edication assisted tapering and weaning, computer-based training pain coaching, acupuncture, chiropractic, physical therapy, massage, and exercise/movement; or
collaborative care or other behavioral health integration services such as evidenced-based cognitive behavioral therapy interventions for me ... ”
Description: TMB disciplines 22 physicians at March meeting
Document: ... r resolves a formal
complaint filed at the State Office of Admini
strative Hearings.
Spurlock, William Marcus, M.D., Lic. No. J7209, Richardson
On March 22, 2024, the Board and William Marcus Spurlock, M.D., entered into an Agreed Order requiring him to within
60 days enroll in and successfu ...
Description: TMB Bulletin April 2024
Document: ... pain management clinic. The ac�on was based on
the �ndings of an Administra�ve Law Wudge at the State
h�ce of Administra�ve Iearings (ShAI). The order re-
solves a formal complaint �led at ShAI.
Yeepers, Werry a., a.5., Lic ...
Description: TMB Strategic Plan FY 25-29 (2024)
Document: ... through the establishment of an ombudsman’s office.
SPECIFIC ACTION ITEMS TO ACHIEVE GOAL
Request funding in 20262027 Legislative Appropriations Request to establish an ombudsman’s office. *Estimated completion date 8/1/2024Post position(s) and onboard selected candidate(s). *Estimated ...
Description: PA Full Board Agenda
Document: ... bility should contact Alicia Freeman at the Board office phone 512or alicia.freeman@tmb.state.tx.usat least
five (5) working days prior to the Board meeting.
Description: TMB disciplines 27 physicians at June meeting, adopts rule changes
Document: ... 2024, the Board filed a Complaint with the State Office of Administrative Hearings (SOAH), alleging unprofessional conduct. Dr.Lewis failed to appear at the SOAH hearing and no responsive pleading was ever filed by Dr. Lewis. The Board granted a Determination of Default and Dr. Lewis’s license ...
Description: TMB restricts San Antonio physician (Yazdani)
Document: ... tient, a Class A misdemeanor. The restriction was based on the arrest and effective immediately. Dr. Yazdani’s license is restricted under the following terms: shall not see, examine, treat, prescribe to, provide consultation for, or otherwise practice medicine on female patients, including tel ...
Description: TMB disciplines 22 physicians at August meeting
Document: ... se under the following terms: practice limited to anesthesia medicine; shall not be permitted to supervise and delegate prescriptive authority to physicians assistants, advanced practice nurses and surgical assistants, however, is permitted to oversee CRNA’s under medical direction; shall compl ...
Description: TMB Legislative Appropriations Request FY 26-27
Document: ...
with the Legislative Budget Board (LBB) and the Office of the Governor, Budget and Policy Division, is
accurate to the best of my knowledge and that the electronic submission to the LBB via the Automated
Budget and Evaluation System of Texas (ABEST) and the PDF file submitted via the LBB Documen ...
Description: TMB Ch. 173 Proposed Rule Summary-Resumen Normas Propuestas
Document: Proposed New Chapter 173
OFFICE BASED ANESTHESIASummaryThe rulesexplain the registrationinspection,practicestandards and minimum equipment requirements when providing anesthesia services in an outpatient setting.The rules further outlineadditional standards applicable to outpatient settings based up ...
Description: Chapter 160 Medical Board Duties - Preamble and Rule
Document: ... l may be submitted using this link: https://forms.office.com/g/fKF0p6vbfYpublic hearing will be held at a later date.Comments on the proposal will be accepted for 30 days following publication.
The repeal of the rules is proposed under the authority of the Texas Occupations Code Annotated, §153.001 ...
Description: Chapter 161 Physician Licensure - Preamble and Rule
Document: ... l may be submitted using this link: https://forms.office.com/g/7w0wqZgqvU. A public hearing will be held at a later date.Comments on the proposal will be accepted for 30 days following publication.The repeal of the rules is proposed under the authority of the Texas Occupations Code Annotated, §153. ...
Description: Chapter 162 Physician Profiles - Preamble and Rule
Document: ... al may be submitted using this link:https://forms.office.com/g/9KcRP3vMGq. A public hearing will be held at a later date.Comments on the proposal will be accepted for 30 days following publication.
The repeal of the rules is proposed under the authority of the Texas Occupations Code Annotated, §153 ...
Description: Chapter 163 Medical Records - Preamble and Rule
Document: ... may be submitted using this link: https://forms.office.com/g/ENi91rHrTG. A public hearing will be held at a later date.Comments on the proposal will be accepted for 30 days following publication.
The repeal of the rules is proposed under the authority of the Texas Occupations Code Annotated, §153 ...
Description: Chapter 164 Physician Advertising - Preamble and Rule
Document: ... l may be submitted using this link: https://forms.office.com/g/T7zq3qSM1ipublic hearing will be held at a later date.Comments on the proposal will be accepted for 30 days following publication.
The repeal of the rules is proposed under the authority of the Texas Occupations Code Annotated, §153.001 ...
Description: Chapter 169 Physician Delegation - Preamble and Rule
Document: ... may be submitted using this link: https://forms.office.com/g/9LtjjNnzmD. A public hearing will be held at a later date.Comments on the proposal will be accepted for 30 days following publication.
The repealof the rules is proposed under the authority of the Texas Occupations Code Annotated, §153. ...
“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 ... ”
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.
“... te data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from ... ”
What is "non-biographical" information as it pertains to an Electronic Medical Record (EMR)?
165.1(a) (10) now requires the following:
"All non-biographical populated fields, contained in a patient's electronic medical record, must contain accurate data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."
Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often resolve between encounters (as result of treatment), diagnoses may no longer be active or present (because of previous treatments), and vitals fluctuate, such data fields should not contain inaccurate, non-current, or irrelevant data that is not pertinent to the present illness/issue. Such information may be part of the patient’s history, but should not be reflected as current/present unless such symptoms/diagnoses are ongoing. Such information may become part of the patient’s historical data/information contained in the electronic medical record. Non-biographical information/data contained in a medical record for each encounter should be based on actual assessment, evaluations or other diagnostics that are documented by the physician.
Also see: EMR Position Statement
“... nts 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. ”
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.
“... that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety. ”
What is the TMB definition of an analgesic and anxiolytics?
Board rule 173 defines analgesic and anxiolytics as shown below:
Narcotic Analgesics-- Opioid or opioid-like dangerous or scheduled drugs that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).
Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety.
“... s 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 prope ... ”
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.