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“... ing every 3 years.
To maintain an active acudetox license you will need to renew your license.
In order to stagger the roll out of the new renewal dates, all licensed Acudetox are being separated out into 3 groups. One third of the existing licensees will register for 1 year in 2024, one third ... ”
“... e Medical Board
Hold an unrestricted and current license, registration, or certification issued by the appropriate Texas regulatory agency authorizing practice as one of the following:
social worker
licensed professional counselor
licensed psychologist
licensed chemical dependency counselor
licens ... ”
“... 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 ... ”
“... al as part of the biennial renewal system.
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 ... ”
“... 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 o ... ”
“... bruary 25, 2013 – January 31, 2019
El Paso
(Physician Member)
Karen Siegel, L.Ac. &nb ... ”
“... viduals considering applying for an acupuncturist license should use the links to the left to for more information about eligibility, the application process, and the required documentation and fees before submitting their applications. The TSBAE meets and grants permanent licenses three times per y ... ”
“Once the Board has issued you an official license number, you will have 90 days to register and activate your license. Failure to register will result in penalty fees, and after one year, license cancellation.
Initial registration is completed via hardcopy forms sent to the licensee short ... ”
“... . 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 form, please contact the Registration Department at registrations@tmb.state.tx.us or (512) ... ”
“... istration – If you have not registered your license within 90 days of your license issue date, a penalty fee equal to half of the registration fee will be assessed. If you have not registered your license within 120 days of your license issue date, the penalty fee will increase to a fee ... ”
“... Board investigates complaints against physicians, physician assistants, acupuncturists, 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 p ... ”
“Search our databases 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. ... ”
“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 ... ”
Description: Rule Changes June 29, 2003
Document: ... ees and applications required for reissuance of a physician assistant license. Chapter 179, Investigation Files. Rule review and amendments to §§179.1-.4, repeal of §179.5-.6 and new §179.5 for general cleanup of the chapter and to update statutory cites. Chapter 183, Acupuncture. Amendment to §183. ...
Description: Rule Changes June 28, 2011
Document: ... cally Underserved Areas provides that a temporary license shall be granted to a provisional license holder upon expiration of the provisional license if the licensure applicant (1) meets all requirements for full licensure, or (2) has been referred to the Licensure Committee (Committee) for review, ...
Description: Rule Changes June 24, 2009
Document: ... , Patient Access to Diagnostic Imaging Studies in Physician's Office, which expands the rule to include non-static diagnostic imaging studies and imaging studies that are maintained in electronic format. The Board determined that the rule change was necessary to clarify the definition of diagnostic ...
Description: Rule Changes June 18, 2002
Document: ... and Applications. Amendment to §175.1 changes the physician annual registration fee to $334. Effective June 18, 2002. Chapter 184 Surgical Assistants. §§184.1, .6, .8, .13, and .15 effective April 8, 2002 as emergency rules and effect ive June 18, 2002 as permanent rules. §184.4 effective May 29, 20 ...
Description: Rule Changes May 21, 2000
Document: ... year rule on licensure examinations. Chapter 164, Physician Advertising - repeal of old chapter, new §§ 164.1164.3 and 164.5 clarifies physician advertising and defines testimonials, false and misleading advertising, etc. Note: §164.4 regarding board certification is reserved for future rulemaking. ...
Description: Rule Changes May 13, 2012
Document: ... & FAQs web page for more information. Chapter 166 PHYSICIAN REGISTRATION 22 TAC §166.2 The amendment to §166.2 provides that physicians that treat tick-borne diseases should complete relevant CME as required by Senate Bill 1360. Chapter 175 FEES AND PENALTIES 22 TAC §175.5 The amendment clarifies th ...
Description: Rule Changes May 12, 2008
Document: ... ard and provides limited circumstances for when a physician who is employed by the federal government physician but who is not licensed in Texas may supervise a medical student. Chapter 164, Physician Advertising, amending §164.3 Misleading or Deceptive Advertising, redefines "solicitation" by delet ...
Description: Rule Changes May 09, 1999
Document: ... ection 163.10, distinguished professors temporary license. Chapter 166, Physician Registration, section 166.2, continuing me dical education requirements and expired permits. Chapter 171, Institutional Permits, repeal and replace chapter regarding postgraduate training permits. Chapter 185, Physicia ...
Description: Rule Changes May 09, 2002
Document: ... e May 29, 2002 as an emergency rule. Chapter 185, Physician Assistants. Amendment to section 185.16 prohibiting a physician assistant from being supervised by a physician under a board order. Effective May 9, 2002. Chapter 189, Compliance Program. New sections 189.1-189.14 relating to requirements a ...
Description: Rule Changes May 06, 2013
Document: ... for at least six months under a faculty temporary license is added as a substitute for specialty certification. Chapter 172. TEMPORARY AND LIMITED LICENSES 22 TAC §172.8 The amendment clarifies that time spent under a Faculty Temporary License may satisfy the 10-year-rule requirement for specialty t ...
Description: Rule Changes May 06, 2009
Document: ... k here for the complete board rules. Chapter 166, Physician Registration, with amendments to §162.2 Continuing Medical Education, would allow members of the Board's Expert Physician Panel up to 12 hours of formal continuing Medical Education for time actually spent in reviewing standard of care case ...
Description: Rule Changes May 05, 2011
Document: ... k here for the complete board rules: CHAPTER 164. PHYSICIAN ADVERTISING 22 TAC §§164.2, 164.4, 164.6 The Texas Medical Board (Board) adopts amendments to §164.2, concerning Definitions, §164.4, concerning Board Certification, and §164.6, concerning Required Disclosures on Websites. The amendment to ...
Description: Rule Changes May 02, 2010
Document: ... ntal and physical examinations, implementation of Physician Health Program for Impaired Acupuncturists. http://www.sos.state.tx.us/texreg/archive/April232010/adopted/22.EXAMINING%20BOARDS. html#366 Chapter 187, Procedural Rules: new amendments to §187.43, Proceedings for the Modification/Termination ...
Description: Rule Changes March 03, 2010
Document: ... 2.EXAMINING%20BOAR DS.html#538 Chapter 180, Texas Physician Health Program and Rehabilitation Orders: new amendments §180.4, Operation of Program, relating to Operation of Program, which establishes the requirements for eligibility, referrals, drug-testing, and fees for the Physician Health Program. ...
Description: Rule Changes March 04, 1998
Document: ... must be passed within seven years. Chapter 166.2, Physician Registration amendment which will clarify that continuing medical education courses recognized by the Committee for Review and Recognition of the Accreditation Council for Continuing Medical Education and sponsored by state medical societie ...
“... 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.
“Registering a supervising physician for an NCT will no longer be required. However, an NCT will still need to obtain and maintain placement on the MRT Board’s general registry, or have an approved a hardship exemption, prior to starting practice. ... ”
Do I need to register my supervising physician?
Registering a supervising physician for an NCT will no longer be required. However, an NCT will still need to obtain and maintain placement on the MRT Board’s general registry, or have an approved a hardship exemption, prior to starting practice.
“If your pro-rated initial registration is for less than 12 months, you are exempt from the CME requirement until your subsequent registration. ”
I just got my license this year. Do I have to complete CME before I register?
If your pro-rated initial registration is for less than 12 months, you are exempt from the CME requirement until your subsequent registration.
“A PA may carry forward a maximum of 80 total excess CME credit hours (40 hours in each category) for up to two years. ”
What if I have more than enough hours of CME to renew my PA license? Can I use some of the credits for next year?
A PA may carry forward a maximum of 80 total excess CME credit hours (40 hours in each category) for up to two years.
“No. CME is required every 2 years for Texas Physician Assistant Board and is calculated from expiration date to expiration date. It is also every 2 years for the NCCPA, but it may not be on the same schedule. In addition, you should check with the NCCPA for their current CME requirements ... ”
Is the PA continuing education requirement for NCCPA the same as that for the Board?
No. CME is required every 2 years for Texas Physician Assistant Board and is calculated from expiration date to expiration date. It is also every 2 years for the NCCPA, but it may not be on the same schedule. In addition, you should check with the NCCPA for their current CME requirements.
“You can register a new supervising physician through the Online Supervisions and Prescriptive Delegation Registration System. Please note that this is a 2 step process and that the supervising physician must complete the registration. ”
How does a PA register a supervising physician with the Board?
You can register a new supervising physician through the Online Supervisions and Prescriptive Delegation Registration System. Please note that this is a 2 step process and that the supervising physician must complete the registration.
“The addition of a new supervising physician does not terminate any other supervision that is currently in place. Any current supervising physician relationship can be terminated using the Online Supervisions and Prescriptive Delegation Registration System. ... ”
How does a PA terminate a supervising physician relationship?
The addition of a new supervising physician does not terminate any other supervision that is currently in place. Any current supervising physician relationship can be terminated using the Online Supervisions and Prescriptive Delegation Registration System.
“Yes, the PAs supervising physician must delegate prescriptive authority allowing a PA to sign prescriptions for controlled substances, also called scheduled drugs, as well as Dangerous Drugs. However, PA's are generally limited to Schedules III – V (Schedule IIs are allowed in very limited cir ... ”
Can a PA sign a prescription for controlled substances?
Yes, the PAs supervising physician must delegate prescriptive authority allowing a PA to sign prescriptions for controlled substances, also called scheduled drugs, as well as Dangerous Drugs. However, PA's are generally limited to Schedules III – V (Schedule IIs are allowed in very limited circumstances). All prescription drugs that are not controlled substances fall into the category of "dangerous drugs." Physician assistants with prescriptive authority must have their own DEA numbers to prescribe controlled substances. In addition, physician assistants must have the name of their current delegating physician authorizing prescriptive authority on file with DEA.
Please note: Under Senate Bill 195, the requirement for controlled substances registration (CSR) with the Texas Department of Public Safety (DPS) was eliminated as of September 1, 2016.
“... e is no limitation to the number of PAs or APNs a physician may supervise. However, a physician may only delegate prescriptive authority to a maximum of seven PA's or APN's, or their full-time equivalent. The only exception relates to supervision and prescriptive delegation to a medically unde ... ”
How many physician assistants can a physician supervise?
There is no limitation to the number of PAs or APNs a physician may supervise. However, a physician may only delegate prescriptive authority to a maximum of seven PA's or APN's, or their full-time equivalent. The only exception relates to supervision and prescriptive delegation to a medically underserved population or in facility based practice.
“A physician may delegate prescriptive authority to a maximum of seven PA's or APN's, or their full-time equivalent. There are some statutory exceptions for prescriptive delegation to a medically underserved population or in facility based practice. Refer to Board rule 193. ... ”
How many PAs can a physician delegate prescriptive authority to?
A physician may delegate prescriptive authority to a maximum of seven PA's or APN's, or their full-time equivalent. There are some statutory exceptions for prescriptive delegation to a medically underserved population or in facility based practice. Refer to Board rule 193.
“... re is no grace period if you do not register your license on time. Once a license becomes delinquent, it is considering practicing without a license to practice as a PA, which may be prosecuted by the local district attorney. The policy of the Board, however, is that the only administrative penalty ... ”
Is there a grace period if I do not pay my PA registration on time?
There is no grace period if you do not register your license on time. Once a license becomes delinquent, it is considering practicing without a license to practice as a PA, which may be prosecuted by the local district attorney. The policy of the Board, however, is that the only administrative penalty is the payment of penalty fees required by statute.
“This is done through a log kept at the facility. ”
How does a PA register an alternate supervising physician?
This is done through a log kept at the facility.
“... ever, the PA can only do so at the direction of a physician. ”
Can a PA call in a prescription to a pharmacy?
Yes, a PA can call in a prescription to a pharmacy. However, the PA can only do so at the direction of a physician.
“Board Rule 185.10 covers Physician Assistant Scope of Practice. ”
What are the laws or rules concerning a PA's scope of practice?
Board Rule 185.10 covers Physician Assistant Scope of Practice.
“Yes, both the anesthesiologist and the physician performing the procedure should be registered for OBA. Statute states that each physician who administers anesthesia or performs a procedure for which anesthesia services are performed in an outpatient setting shall register for OBA and comply with cu ... ”
I am an anesthesiologist. I contract out my services to other physicians to provide anesthesia for procedures in their offices. Since the anesthesia is not done in my office and I am only a contractor, do I need to register for Office Based Anesthesia (OBA)?
Yes, both the anesthesiologist and the physician performing the procedure should be registered for OBA. Statute states that each physician who administers anesthesia or performs a procedure for which anesthesia services are performed in an outpatient setting shall register for OBA and comply with current OBA regulations. Please note, an anesthesiologist who contracts out their services to multiple physicians is not required to register each location where they perform OBA, but only the highest level of OBA services that they provide.