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“This section of the physician profile contains the physician reported name, location and graduation date of all medical schools attended by the physician.
Also displayed is the physician reported graduate medical education taken in the US or Canada, including the following: Program name, Loca ... ”
“... icensure.
Physicians are responsible for making a self-determination of eligibility prior to applying to participate in the Compact, and they must confirm that they understand the Compact rules.
IMLC Qualifications
There are two types of eligibility requirements: State of Principle Lice ... ”
“Controlled Substance Electronic Prescribing Requirement
Effective January 1, 2021, Texas Health and Safety Code, §§481.0755 requires that prescriptions for controlled substances to be issued electronically, except in limited circumstances, or unless a waiver has been granted by the appropr ... ”
“This section of the physician profile contains any physician reported specialty certifications issued by a board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists. ”
“... andum of understanding with the patient's primary physician for treating and managing the patient
OR
If a clinic is currently certified by TMB as a Pain Management Clinic, the clinic must
be operated by physicians who currently hol ... ”
“
Are the Physicians being singled out?
How much is it going to cost?
Does the fingerprinting fee benefit the TMB?
When do we have to do it?
Can I complete the fingerprint requirement early?
Can I get my fingerprints done anywhere?
What is my Board issued 6-digit ID number?
What if my ... ”
“... , and report continuing education 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 Ju ... ”
Description: Press Release November 13, 2009 (PDF File)
Document: ... d on unprofessional conduct; three nontherapeutic prescribing violations; nine actions based on inadequate medical records violations; one action based on a peer review action; two actions based on failure to properly supervise or delegate; two actions based on violation of probation or prior order; ...
Description: Press Release November 17, 2011 (PDF File)
Document: ... inary actions.) In addition, the Board issued 201 physician licenses at the November board meeting, bringing the total number of physician licenses issued in FY 12 to 654. Thirty-one percent of physician licensure applications were completed in 10 days or less. RULE CHANGES ADOPTED The following Rul ...
Description: Press Release November 22, 2004 (PDF File)
Document: ... ed poor medical judgment. The order restricts the physician to practice in an office setting only and prohibits his practice in a hospital setting. The action was taken following a hearing November 15 and became effective immediately. A second panel of the Board temporarily suspended the license of ...
Description: Press Release November 30, 2006 A (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. That panel suspended Dr. Baker's license. On Tuesday, November 28, the Board held a hearing wit ...
Description: Press Release December 02, 2005 (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. On Monday (November 28), the Board held a hearing with notice to Dr. Jones, which allowed prese ...
Description: Press Release February 02, 2012 (PDF File)
Document: ... devote 85-90% of his practice to pain management, prescribing opoids and other controlled substances including Oxycontin, Hyrdocodone, Dilaudid and Fentanyl. Previously, Dr. Evans entered into an Agreed Order in April 2011 based on his non-therapeutic prescribing of narcotics to 15 patients. Subsequ ...
Description: Press Release December 19, 2002 (PDF File)
Document: ... e.tx.us. When a search is done through either the Physician Profile or TMB Public Web-based Verification, a link is provided to the document(s) if the licensee has board action. The links are available at http://www.tsbme.state.tx.us/agency/ProfessionalInfo.htm 55 Doctors Disciplined During its Dece ...
Description: Press Release December 20, 2000 (PDF File)
Document: ... yer Governor George W. Bush has appointed Lubbock physician Elvira Pascua -Lim, M.D., to the unexpired term of Paul G. Meyer, M.D., who resigned from the Board. Dr. Pascua-Lim, a native of the Philippines and a graduate of the University of the Philippines, College of Medicine, is the medical direct ...
Description: Press Release December 21, 1999 (PDF File)
Document: ... , it has developed guidelines or rules for proper prescribing for pain management, integrative and complementary medicine and resident permitting; it is developing rules for office-based anesthesia and will soon implement physician profiles. In 1998, Dr. Levy requested an outside audit by consultant ...
Description: Press Release December 28, 2010 (PDF File)
Document: ... 512) 305-7030 or (800) 248-4062.
Board restricts prescribing practices of Houston physician
On December 23, 2010, a disciplinary panel of the Texas Medical Board entered an Order of Temporary Restriction against the medical license of Ruth M. Atlas, M.D., Lic. No. G7616, of Houston, barring her fro ...
Description: Press Release December 28, 1998 (PDF File)
Document: ... g $12,000 were assessed. The Texas State Board of Physician Assistant Examiners, at its October 30 meeting, restricted the licenses of two physician assistants under various terms and conditions. Statement on Continuing Medical Education Advertising In light of recent advertising practices used by s ...
Description: Press Release February 23, 2012 (PDF File)
Document: ... d desist orders. In addition, the Board issued 93 physician licenses at the February board meeting, bringing the total number of physician licenses issued in FY 12 to 1352. Thirtyeight percent of physician licensure applications were completed in 10 days or less. RULE CHANGES ADOPTED The following R ...
Description: Press Release February 24, 2002 (PDF File)
Document: ... 4062
Drug shortage information
Recently, a Texas physician related a situation in which doctors had to resort to the use of expired emergency resuscitation drugs. Would the Texas Medical Board consider the use of expired drugs a violation of the standard of care? The short answer is, if TMB investi ...
Description: Press Release March 14, 2012 (PDF File)
Document: ... 3, 2012, to address allegations of nontherapeutic prescribing practices and "pill mill" activities, and that his various actions constitute an imminent peril to the public health, safety, or welfare. In the course of the past several months, investigators with the federal Drug Enforcement Agency (DE ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS LONG RANGE PLANNING COMMITTEE MEETING MINUTES APRIL 26, 2002
Document: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS LONG RANGE PLANNING COMMITTEE MEETING MINUTES APRIL 26, 2002
The meeting was called to order at 9:30 a.m. by the Chairman, G. Al Bendeck, PA-C. Committee members present were G. Al Bendeck, PA-C and Timothy Webb, J.D. The following staff were also ...
“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 c ... ”
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.
“To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure. ”
Are there any additional requirements that I need to complete before I request to return my retired physician license to an active status?
To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure.
“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 r ... ”
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.
“... formation they gain to make educated and informed prescribing decisions. ”
If I discover a patient is receiving scheduled medication from other physicians, what action must I take? For example, must I immediately terminate the patient or cease prescribing the scheduled medication?
The TMB cannot tell providers how to use the information they obtain through the PMP check. Providers should follow the standard of care and utilize the information they gain to make educated and informed prescribing decisions.
“Yes. For patients with the following documented conditions, a PMP check is not required: a documented cancer diagnosis, sickle cell disease, patients receiving care through a licensed hospice provider, or if the prescriber makes and documents a good faith attempt to comply but is unable to acc ... ”
Are there any exemptions to the requirement that I must check the PMP prior to prescribing opioids, benzodiazepines, barbiturates, or carisoprodol?
Yes. For patients with the following documented conditions, a PMP check is not required: a documented cancer diagnosis, sickle cell disease, patients receiving care through a licensed hospice provider, or if the prescriber makes and documents a good faith attempt to comply but is unable to access the PMP because of circumstances outside the control of the prescriber.
In addition, a PMP check is not required:
1. Before or during an inpatient stay, such as a hospital admission, or
2. During an outpatient encounter in settings such as an emergency department or ambulatory surgical center visit.
“... ossible in order to make informed decisions about prescribing certain controlled substances. If the PMP check is completed too far ahead of time, then there may be new information in the PMP that the prescriber is not considering.The PMP is updated on a 24-hour basis and therefore contains inf ... ”
How far ahead of time can I check the PMP?
There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check is completed too far ahead of time, then there may be new information in the PMP that the prescriber is not considering.
The PMP is updated on a 24-hour basis and therefore contains information accurate up to 24 hours prior to completion of the check.
“... you or your practice being unable to set up an e-prescribing process. On the waiver form, you will have to specify any of the above categories you are experiencing. ”
How do I qualify for the waiver?
There are three different ways you can qualify for a waiver. If you or your practice is experiencing any of the following, you may qualify for a waiver:
On the waiver form, you will have to specify any of the above categories you are experiencing.
“... ted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also c ... ”
How will I be notified if I am granted a waiver?
If you are granted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.
“Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group. ”
Does everyone at my practice have to apply for a waiver or just the medical director?
Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.
“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.&nbs ... ”
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.
“ 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 ... ”
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.”