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“... nal non-refundable surcharge related to the Texas Physician Health Program ($5.25) will be assessed with the application fee. The entire fee must be submitted before your application can be assigned and processed.
Temporary License fee: If requested, a temporary license can be issued once you h ... ”
“Physician assistants need to complete at least 40 credits of continuing medical education every 24 months. (24 month timeline is in relation to the biennial registration period, not the calendar year).
Physician Assistant CME Requirements (biennial)
Of the 40 credit hours required:
... ”
“... ific information available in each section of the physician profile.
THE INFORMATION IN THESE SECTIONS HAVE BEEN VERIFIED BY THE TEXAS MEDICAL BOARD
Verified Information
Current Board Action
Medical Malpractice Investigations
THE INFORMATION IN THESE SECTIONS WAS REPORTED BY THE LICE ... ”
“... licensure prior to application for licensure as a physician, physician assistant, acupuncturist, medical radiologic technologist, non-certified radiological technician, respiratory care practitioner, medical physicist, or perfusionist.
Please note that this evaluation is not a guarantee ... ”
“... bruary 25, 2013 – January 31, 2019
El Paso
(Physician Member)
Karen Siegel, L.Ac. &nb ... ”
“... ation will require you to download a supplemental form and submit it. Some of the forms must be sent to a third party, such as your acupuncture school. Applicants must also take and pass the Jurisprudence Exam. More information can be found using the links under Apply at the left.
Your a ... ”
“... licensees who choose to register through a paper form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration f ... ”
“... against the following license types.
Physicians,
Physician Assistants,
Acupuncturists,
Medical Radiologic Technologists,
Respiratory Care Practitioners,
Medical Physicists,
Perfusionists and
Surgical Assistants.
Nurses: TMB does not have the authority to investigate a nurse for care provide ... ”
“... for license and permit information on physicians, physician assistants, acupuncturists, medical radiological technologists, non-certified radiologic technicians, respiratory care practitioners, medical physicists, and perfusionists licensed by the State of Texas. (This includes Physic ... ”
“In addition to verification information, physician licensee records or “profiles,” contain consumer-oriented professional background information. Physician profiles include license status, educational background, disciplinary actions, as well as information self-reported by the licensee ... ”
“... urse 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 three national certifying exams.
Have a current natio ... ”
“... sting performed under the direct supervision of a physician who delegated the acts. The practice of a surgical assistant may be performed in any place authorized by a delegating licensed physician, including a clinic, hospital, ambulatory surgical center, or other institutional setting.
Surgi ... ”
“... fee is currently $315.00, to be submitted in the form of a personal check, cashier’s check, or money order payable to the Texas Medical Board. An additional non-refundable surcharge related to the Texas Physician Health Program ($15) will be assessed with the application fee. The entire ... ”
“... nse, complete and return the cancellation request form (link below) to the Board for approval before the expiration date of the current registration permit. Refunds of registration fees already paid cannot be made.
Acupuncture Cancellation by Request
If you have any questions, pl ... ”
“... nowledge, skill, and judgment of a fully licensed physician in ways which may affect the health and safety of the public or any person.
It does not include the authority to
practice clinical medicine,
... ”
Description: Rule Changes March 05, 2000
Document: ... training permits may be disciplined. Chapter 173, Physician Profiles - proposed new 173.1-173.7, concerning information to be collected by the board as mandated by House Bill 110, 76th Legislature. Chapter 175, Fees, Penalties, and Applications - proposed amendments to 175.1 and 175.5, relating to t ...
Description: Rule Changes March 09, 2009
Document: ... s. Chapter 162, Supervision of Medical School and Physician Assistant Student, with amendments to §162.1, Supervision of Medical Students, provides for the supervision of a medical student who is not enrolled at a Texas medical school as a full-time student or visiting student. Chapter 171, Postgrad ...
Description: Rule Changes March 08, 2001
Document: ... k here for the complete board rules. Chapter 164, Physician Advertising - proposed new 164.4 regarding advertising board certification. Chapter 175, Fees, Penalties, and Applications - proposed amendment to 175.1 regarding fees for biennial non-profit health organization applications and fees for fi ...
Description: Rule Changes March 07, 2012
Document: ... FAQs web page for more information. CHAPTER 173. PHYSICIAN PROFILES 22 TAC §173.1, §173.3 The Texas Medical Board adopted amendments to §173.1, concerning Profile Contents; and §173.3, concerning Physician-Initiated Updates. The amendment to §173.1 clarifies what utilization review services are sub ...
Description: Rule Changes March 07, 2002
Document: ... to eligibility and documentation requirements of Physician in Training Permits and Visiting Professor Permits, along with general clean-up of the chapter. Chapter 173, Physician Profiles. Amendment to §173.1(b)(22) to correct a citation error. Chapter 180, Rehabilitation Orders. Repeal of §180.1 an ...
Description: Rule Changes March 06, 2003
Document: ... k here for the complete board rules. Chapter 164, Physician Advertising. Rule review with no changes. Chapter 183, Acupuncture. Amendments to ''183.1-184.4 and 183.6-183.18 for general clean-up of the chapter. Chapter 184, Surgical Assistants. Amendments to ''184.4, 184.6, and 184.8 regarding licens ...
Description: Rule Changes April 16, 2008
Document: ... d authority to other staff members,. Chapter 166, Physician Registration, amending 166.4 Expired Registration Permits, Interprets §156.005, Occ. Code, as providing an exclusive penalty for practicing medicine after the expiration of a permit and within one year. Chapter 167, Reinstatement and Reissu ...
Description: Rule Changes May 01, 2006
Document: ... lties, and Forms. Increased registration fees for Physician Assistants. Chapter 183, Acupuncture. Amendments adds a more extensive list of functions of the Acupuncture board; update the citation to the board rule regarding licensure; delete references to provision of 183.4(g) that is being deleted; ...
Description: Rule Changes January 25, 2006
Document: ... o "Texas Medical Board" and "Texas State Board of Physician Assistant Examiners" to "Texas Physician Assistant Board;" the number of members of the Texas Medical Board to 19 and the number of public members to 7. Chapter 163, Licensure, Amendments designate the primary license issued by the Medical ...
Description: Rule Changes January 22, 2009
Document: ... amending 165.1, Medical Records, clarifies that a physician must destroy medical records after the required time for maintenance in a manner that ensures continued confidentiality and 165.5, Transfer and Disposal of Medical Records, clarifies when a physician must notify the board of termination, re ...
Description: Rule Changes January 17, 2011
Document: ... k here for the complete board rules: Chapter 164, Physician Advertising , amendments to 164.4 Board Certification, clarify under what circumstances physicians may advertise himself or herself as "board certified." Specifically, the amendments allow physicians to advertise that they are "board certif ...
Description: Rule Changes January 09, 2005
Document: ... to §162.1 repealing requirement that supervising physician hold clinical faculty appointment and new §162.2 adding provisions of Chapter 186, Supervision of Physician Assistant Students. Chapter 166, Physician Registration: Rule review and amendments to §166.1 relating to licensees notifying board ...
Description: Rule Changes January 09, 2003
Document: ... suing postgraduate training permits. Chapter 173, Physician Profiles. Amendments to §'173.1 regarding board actions contained in the profile. Chapter 177, Certification of Non-Profit Health Organizations. Amendment to §177.16 regarding the complaint procedure notification. Chapter 184, Surgical Assi ...
Description: Rule Changes January 08, 2004
Document: ... k here for the complete board rules. Chapter 173, Physician Profiles. Rule review only - no changes to the text of the rule. Chapter 176, Health Care Liability Lawsuits and Settlements. New c hapter, §§176.1-176.9, concerning reporting responsibilities for licensees against whom a health care liabil ...
Description: Rule Changes January 07, 2001
Document: ... with Disabilities Act requirements. Chapter 173, Physician Profiles - proposed amendments to §173.1 regarding information to be released on the physician profiles. Chapter 199, Public Information - rule review and proposed amendments to §§ 199.1-.4 to correct the name of the Public Information Comm ...
“No. A Temporary License supersedes a PIT permit and a permanent license supersedes a Temporary License. ”
Can I continue to use my PIT permit if I obtain a Temporary License or permanent physician licensure?
No. A Temporary License supersedes a PIT permit and a permanent license supersedes a Temporary License.
“... ion was passed during previous sessions requiring physician assistants, surgical assistants and acupuncturists to be fingerprinted. ”
Are the Physicians being singled out?
Fingerprinting requirement for physicians is a result of legislation passed during the 88th legislative session in 2023. Similar legislation was passed during previous sessions requiring physician assistants, surgical assistants and acupuncturists to be fingerprinted.
“... ird party identification number or choose another form of payment. ”
Can my residency program (or other third party) pay my PIT application fee?
Yes. They must register with the TMB for bulk payment processing. Your program will receive a third party identification number which they should make available to you, if they wish to pay your application fee. On the payment page of the online application, select "Pay by Third Party Payment". Enter the third party identification number you were given in the "Third Party ID" field. Note: This number should not be confused with the TMB personal identification number, or your ACGME, AOA, or TMB Program Identification number. Be sure to enter a valid email address. You will receive an email if the application fee has not been paid within seven days. Your application will not be submitted to the Texas Medical Board until the fee has been paid. Entering an incorrect third party identification number will mean that your program, or other third party payer, is prevented from paying for your application, and you will have to submit a new application with the correct third party identification number or choose another form of payment.
“... ecify that you have to have worked for a licensed physician in the US who has an unrestricted license. This means an MD or DO only. ”
I have been working for a Doctor of Podiatry/Optometrist/Dentistry for the last three years. Can I use this experience towards the 2000 hour requirements?
No. The Board Rules specify that you have to have worked for a licensed physician in the US who has an unrestricted license. This means an MD or DO only.
“... ical Assistant so long as you are supervised by a physician. Please review the Occupations Code Section 206.002 for full details on applicability. Also: We are aware that many entities require that a Surgical Assistant working for them be licensed in Texas. Please be aware that this is not required ... ”
I need this license to practice as a surgical assistant in Texas, right?
No. The Texas Occupations Code concerning Surgical Assistants does not require that you have a license to practice as a Surgical Assistant so long as you are supervised by a physician. Please review the Occupations Code Section 206.002 for full details on applicability. Also: We are aware that many entities require that a Surgical Assistant working for them be licensed in Texas. Please be aware that this is not required by the State of Texas but instead may be the result of billing or institutional policies. Whatever the reason for applying for a license at this time, your application will be given due attention upon submission of all required documents.
“... your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc. ”
What do I need to do to change the name I use professionally?
You must provide us with a statement that gives an explanation of your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc.
“... cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address ”
Can I give my change of address over the phone?
No. However, changes in mailing or practice addresses can now be updated online in most situations. For those license types that cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address
“... at least 5 working days for the processing of the form, the fee and posting to the computer system. ”
Is the registration payment due before the expiration of a license?
Yes. The completed registration application and payment are due on or before the expiration date of the permit. However, you should allow at least 5 working days for the processing of the form, the fee and posting to the computer system.
“... ensees who choose to register through a hard copy form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required. ”
Is it the same price to register online or by hard copy?
No. An additional processing fee of $50 will be charged to those licensees who choose to register through a hard copy form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
“All entities in which a physician assistant has an ownership interest, in which the physician assistant performs a professional service that falls within the scope of physician assistant practice, must register annually, regardless of percent of ownership or when they were formed. ... ”
Who has to report a joint ownership, or physician assistant ownership interest?
All entities in which a physician assistant has an ownership interest, in which the physician assistant performs a professional service that falls within the scope of physician assistant practice, must register annually, regardless of percent of ownership or when they were formed.
“The annual reporting for physician assistant or jointly owned entities is April 30th of each year. ”
When is the annual reporting due for a joint ownership, or physician assistant ownership interest?
The annual reporting for physician assistant or jointly owned entities is April 30th of each year.
“For entities formed on or after June 17, 2011 there is a reporting fee of $18.00. There is no reporting fee for entities formed before June 17, 2011. ”
Is there a fee for reporting a joint ownership, or physician assistant ownership interest?
For entities formed on or after June 17, 2011 there is a reporting fee of $18.00. There is no reporting fee for entities formed before June 17, 2011.
“Yes. All entities in which a physician assistant has an ownership interest, in which the physician assistant performs a professional service that falls within the scope of physician assistant practice, must register annually, regardless of percent of ownership or when they were formed. ... ”
Do I have to report a joint ownership or physician assistant ownership interest even if my business was formed prior to the implementation of this statute?
Yes. All entities in which a physician assistant has an ownership interest, in which the physician assistant performs a professional service that falls within the scope of physician assistant practice, must register annually, regardless of percent of ownership or when they were formed.
“... ws entities to be jointly owned by physicians and physician assistants subject to certain limitations, including percent of ownership by physician assistants. Tex. Occ. Code, Sec. 167.102(a), requires that a pain management clinic be owned and operated by physicians practicing in Texas under an unre ... ”
How does HB 2098 affect my pain management clinic ownership?
HB 2098 has no effect on the requirement that pain management clinics be owned by physicians. HB 2098, enacted by the 82nd Legislature, allows entities to be jointly owned by physicians and physician assistants subject to certain limitations, including percent of ownership by physician assistants. Tex. Occ. Code, Sec. 167.102(a), requires that a pain management clinic be owned and operated by physicians practicing in Texas under an unrestricted license. An ownership interest by anyone other than a physician is not allowed. Note: The TMB cannot give legal advice. Please consult an attorney if you have questions regarding whether or not your entity is required to report. However, the owners of entities that have not been properly reported can be investigated.
“... of the Texas Administrative Code, Section 193. A physician is allowed to delegate certain duties to a qualified and properly trained person acting under the physician’s supervision:1) if in the opinion of the delegating physician the act can be properly and safely performed by the person to w ... ”
What are the general rules related to AAs/CRNAs?
The authority to delegate is found in Chapter 157 of the Texas Occupations Code, and Title 22 of the Texas Administrative Code, Section 193. A physician is allowed to delegate certain duties to a qualified and properly trained person acting under the physician’s supervision:
1) if in the opinion of the delegating physician the act can be properly and safely performed by the person to whom the medical act is delegated;
2) the act is performed in its customary manner; and
3) the performance of the act by the delegate is not in violation of any other statute.
It is clear that AAs can be delegated certain tasks under Chapter 157. The question is the extent allowable of such delegation. The key provision that needs to be examined is likely “not in violation of any other statute.”
Although the Nursing Act describes what a CRNA can do in regard to anesthesia, there is overlap of regulation of CRNAs between the Medical Board and Nursing Board. CRNAs are subject to physician delegation under the Medical Practice Act. The delegating physician can limit what a CRNA is allowed to provide under a Prescriptive Authority Agreement (PAA) or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
The level of supervision required for any AA (or any delegated provider) is determined based on training, knowledge, and experience, as determined by the physician. For CRNAs, whether any level of physician supervision is required will depend upon those same factors, in addition to applicable federal and state statutes, regulations, bylaws, and ethical standards, if any. However, AAs and CRNAs cannot practice independently and require physician delegation. A hospital or facility can set their own standards, policies, etc., related to delegation and supervision as long as it does not violate Chapter 157, board rules, or other applicable federal and state statutes and regulations. Although AAs most commonly work under an anesthesiologist physician, any physician may supervise and delegate to AAs; however, the standard of care must be met and the delegating physician remains responsible for the AA’s actions.
One difference between an AA and CRNA is the ability to order and prescribe dangerous and controlled substances to patients for anesthesia and anesthesia-related services. Under section 157.058, a CRNA pursuant to the physician’s order and in accordance with facility policies or bylaws may select, obtain, and administer those drugs appropriate to accomplish the order. The physician’s order for anesthesia or anesthesia-related services is not required to specify a drug, dose, or administration technique.
As previously stated, the Nursing Act describes what a CRNA can do in regard to anesthesia. However, the delegating physician or facility can limit what a CRNA is allowed to provide under a PAA or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
While AAs are not allowed to select drugs, determine dose, or administration technique for anesthesia or anesthesia-related services without specification by the supervising physician through an order, they perform many of the other same key duties performed by CRNAs. These duties include conducting preoperative physical exams, administering medications, evaluating and responding to life-threatening situations, setting up external and internal monitors, and implementing general and site-specific anesthetic techniques.
Another area of concern relates to handing-off patient care from CRNAs to AAs. RNs have the authority to delegate certain nursing tasks to unlicensed individuals; however, a CRNA and AA do not have any specific delegation authority concerning anesthesia tasks. A physician has the authority to delegate the process of anesthesia-related patient care, including the transfer or hand-off of care from a CRNA to an AA through an order (standing or patient-specific) or protocol. A CRNA or AA cannot set-up or independently delegate a hand-off or step-down process.
While the Nursing Act places responsibility for patient hand-off on a CRNA, if the physician orders a hand-off process from CRNA to AA, and this is memorialized in orders, protocols, etc., then the CRNA does not have the authority to determine the AA is not competent. The reason is that the physician has already made the determination of competency under Chapter 157.001.
Because the CRNA’s authority also arises through the delegating physician, and is not independent of that physician, a CRNA cannot override a physician Order related to this hand-off scenario. If this hand-off became an issue, the CRNA would have a defense (absolute) because the physician has already determined the competency of the AA to accept this patient.