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“Physicians and Physician Assistants (PAs) who prescribe or will be prescribing controlled substances in the State of Texas need to be aware of changes to the laws regarding prescribing and ordering these drugs.
Controlled Substance Electronic Prescribing Requirement
Effective January 1, ... ”
“... t of current clinic employees, including contract physicians and other healthcare providers, and their applicable education, qualifications, training, and professional licenses. Providers at the clinic involved in any part of patient care should have completed at least ten hours of continuing ... ”
“This section of the physician profile contains self-reported physician identifying information including gender, country or state of birth, and race. Also displayed is the physician reported current primary practice and information on the number of years that the physician has been in practice ... ”
“... afe through the licensure and regulation of Texas physicians. The TMB staff also serves as staff for the Texas State Board of Acupuncture Examiners, the Texas Physician Assistant Board, the Texas Board of Medical Radiologic Technology, and the Texas Board of Respiratory Care.
This “A ... ”
“... ulletin, and are included in the licensee’s profile, which is available through the TMB web site. Since remedial plans are not disciplinary actions, they are made publicly available on a physician’s profile, but are not reported in the newsletter or in press releases. ... ”
“... asonable fees for hospital records?
How long do physicians have to keep medical records?
My physician closed his office. How do I get my medical records?
My physician died. How do I get my medical records?
”
“... t information is available on a physician’s Profile?
I’m looking for a physician of a particular specialty. Does the “Look up a License” system let me do that?
When I search for my physician, I get a “No records Match” message. Does my physician have a license ... ”
“... cine, the American Society of Interventional Pain Physicians, and the American Association of Naturopathic Physicians. Ximenes received a Bachelor of Arts in Zoology from The University of Texas at Austin and a Doctor of Medicine from the University of Texas Medical School, Houston.
... ”
“... re in Texas and are not licensed in this state as physicians; two physicians who are licensed in Texas and are experienced in the practice of acupuncture; and three members of the public who are not licensed or trained in a health care profession.
Statutorily mandated activities of the Board include ... ”
“... re in Texas and are not licensed in this state as physicians; two physicians who are licensed in Texas and are experienced in the practice of acupuncture; three members of the public who are not licensed or trained in a health care profession. ”
“... larly updated information on licensees, including physicians, physicians in training, physician assistants, acupuncturists, medical physicists, medical radiologic technologists, non-certified radiological technicians, perfusionists, and respiratory care practitioners.
Visit ... ”
“... ure and enforcement of the following professions: physicians, physician assistants, acupuncturists, medical radiologic technologists, and respiratory care practitioners.
Enforcement & Licensure Process
Enforcement The Enforcement Division receives and evaluates complaints on licensees. Complaint ... ”
“... iation, American College of Osteopathic Emergency Physicians, and the American Medical Society of Sports Medicine. In addition, he is a volunteer physician for the Special Olympics. Distefano received a Bachelor of Science in Radiologic Technology from Northeast Louisiana University, and a Doctor of ... ”
“... f the rotation in Texas only
Basic PIT permit for physicians changing institutions.......... $141.00 For physicians changing institutions before current permit expires.
Basic PIT permit for the length of Texas residency ............ $200.00
Military Fee Waiver of PIT Permit Application fee:
... ”
“... mation 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 LICENSEE AND M ... ”
Description: TMB Bulletin Spring 2000
Document: ... es Continuing Medical Education Reminder Tips for Physicians to Speed Processing of Annual Registration Payments Disease Reporting Reminder Integrative and Complementary Medicine Disclosure and Consent Form Improving the Quality of Health Care in Texas Medicaid Re-Enrollment Reminder Medical Records ...
Description: TMB Bulletin Spring 2005
Document: ... license: An institutional license for eminent physicians; A faculty temporary license; A limited license for administrative medicine.
Applicants for PA and Acupuncture licenses will now be required to pass a jurisprudence examination. Over the next six months, the agency will be developing rule ...
Description: TMB Bulletin Spring 2006
Document: ... nparalleled growth in licensure applications from physicians seeking to practice in Texas. During the first half of this fiscal year, there was an 88 per cent increase over the same period of fiscal year 2003. While there was mostly steady growth between 2000 and 2005, projections for 2006 are drama ...
Description: TMB Bulletin Spring 2007
Document: ... Medical Society, the Texas Society of Psychiatric Physicians, the Bexar County Psychiatric Society, and the American Society of Law, Medicine and Ethics. Dr. Arambula replaces Elvira Pascua-Lim, M.D., of Lubbock, who resigned from the board. At her last board meeting on October 6, Board President Ro ...
Description: TMB Bulletin Spring 2004
Document: ... on and a fellow of the American Academy of Family Physicians. Dr. Miller serves on the Dallas-Fort Worth Regional Medical Advisory
Committee for Blue Cross Blue Shield of Texas and on the Development Council of Baylor University. Dr. Miller earned his bachelor's degree from Baylor University and h ...
Description: TMB Bulletin Spring 2010
Document: ... Dr. Schell’s violation of Board rules
requiring physicians to notify the Board in writing of
changes in mailing and practice addresses.
Corrective orders are for violations that do not rise to
the level of warranting a restriction on a physician’s
license but may include requirements such as ad ...
Description: TMB Bulletin Spring 2002
Document: ... ecause of boundary issues; they just don t expect physicians to join in their problem, as Linda Weisberg said in 1994. Warmth and caring through a reassuring touch has its place in medicine. The reassuring touch of a physician just before surgery can have a powerfully therapeutic effect. However, as ...
Description: TMB Bulletin Spring 1997
Document: ... B Rule Changes Disciplinary Actions
Announcement Physicians should be aware of the new training requirements for non -certified radiologic technicians. Information will be mailed to the radiologic technicians within four to six weeks.
Board Initiates CME Audits The Texas State Board of Medical Exa ...
Description: TMB Bulletin Spring 2008
Document: ... nadequate patient care or unprofessional conduct. Physicians who choose to participate in the new fast-track system can agree to administrative charges and pay a fine, rather than undergo a full investigation and the resulting stress and expense. A licensee who disputes the charges can contest the v ...
Description: TMB Bulletin Spring 1999
Document: ... bulletin desc ribes the match process and directs physicians to
the NRMP. Information can be obtained by writing NRMP, 2501 M Street NW, Ste. 1, Washington DC 20037-1307. A wealth of information is available on these organizations' web sites. The ECFMG's web address is http://www.ecfmg.org, and NR ...
Description: TMB Bulletin Spring 1998
Document: ... tor.org offers free verification and searches for physicians board-certified by one of the approved member boards of the ABMS. The site receives 100,000 requests per week for information on locating and verifying certification of physicians. Physicians are encouraged to visit the site and view the i ...
Description: TMB Bulletin January 2011
Document: ... d provide a copy of this Order to all supervising physicians. The action was based on Mr. Barak's unprofessional conduct likely to deceive or defraud the public, and writing a false or fictitious prescription for a scheduled or dangerous drug. Bryant, Susan Lea, P.A., Lic. No. PA00905, Dallas On Dec ...
Description: TMB Bulletin May 2011
Document: ... by members of the Texas Legislature, the TMB gave physicians a grace period to allow them more time to register. The TMB also refunded fines and dismissed pending disciplinary actions. That grace period is ending and enforcement resumes June 1. To register, visit www.dshs.state.tx.us/ vs/edeath/ for ...
Description: TMB Bulletin Spring 2009
Document: ... is a fellow of the American College of Emergency Physicians. He is also a member of the Travis County Medical Society and Texas Medical Association, and chair of the Austin/Travis County EMS Quality Assurance Board. Dr. Crocker served in the U.S. Army, and received a bachelor s degree and master s ...
Description: TMB Bulletin July 2012
Document: ... hs caused by motor vehicle accidents. The paradox physicians face is that the treatment of pain is an important and legitimate part of the practice of medicine. This is evidenced by the Joint Commission mandate of pain as a "vital sign," by the use of "pain scores" by CMS to measure patient satisfac ...
“... uirement 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), ... ”
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.
“Effective 1/31/2010, registration by physicians of delegated prescriptive authority to PAs or APNs is required. ”
Does delegation of prescriptive authority to a PA or APN have to be registered with the TMB as well?
Effective 1/31/2010, registration by physicians of delegated prescriptive authority to PAs or APNs is required.
“There is no limit to the number of supervising physicians a PA may have. ”
How many supervising physicians can a PA have?
There is no limit to the number of supervising physicians a PA may have.
“Within 30 days of the change or addition. This can be done through the Online Supervisions and Prescriptive Delegation Registration System. ”
How soon does a PA need to update the Board about a change in supervising physicians? What about an addition?
Within 30 days of the change or addition. This can be done through the Online Supervisions and Prescriptive Delegation Registration System.
“... gist 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. ”
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.
“Yes. Physicians need to complete at least 24 hours of continuing medical education each year, at least half of which must be in formal courses. One hour of formal CME must be in medical ethics and/or professional responsibility. A physician must report on the registration form if she or he has compl ... ”
Is a physician required to complete CME to register a license?
Yes. Physicians need to complete at least 24 hours of continuing medical education each year, at least half of which must be in formal courses. One hour of formal CME must be in medical ethics and/or professional responsibility. A physician must report on the registration form if she or he has completed the required CME. However, newly licensed physicians are exempt from the CME requirements the first time they register.
“... under a Board order, or be otherwise restricted. Physicians on a retired status must not engage in clinical activities or practice in any state, must not prescribe or administer drugs to anyone, nor may the physician possess a DEA or Texas controlled substance number. Additionally, the physician's ... ”
Is there a retired status for physicians in Texas?
Yes. A physician on an official retired status is exempt from the registration fee. To be eligible for retired status, a physician's license cannot be under investigation, under a Board order, or be otherwise restricted. Physicians on a retired status must not engage in clinical activities or practice in any state, must not prescribe or administer drugs to anyone, nor may the physician possess a DEA or Texas controlled substance number. Additionally, the physician's license may not be endorsed to any state. A physician whose license has been placed on official retired status must obtain the approval of the board before returning to active status. The physician should contact the board for information on the approval procedure.
“... atutory regulations require the TMB to maintain a profile on each licensed physician. This profile information is gathered in conjunction with the license registration and is available to the public through our online verification database. The Texas Occupations Code, Chapter 154.006 requires that i ... ”
What information is available on a physician’s Profile?
Statutory regulations require the TMB to maintain a profile on each licensed physician. This profile information is gathered in conjunction with the license registration and is available to the public through our online verification database. The Texas Occupations Code, Chapter 154.006 requires that information be made available through the physician profile system. In addition to the statutorily required information, the TMB has adopted rules (Chapter 173) regarding the contents of the physician profile system. Due to concern expressed by licensees regarding identity theft and the public disclosure of exact dates of birth, the TMB no longer includes exact dates of birth in our data products, online verification databases or verbal verifications. We do however continue to include birth year.
“Profile changes/corrections/updates must be submitted in writing, with a signature. Written changes can be sent to: TMB P.O. Box 2029 MC-906 Austin, TX 78768-2029 (f) 512-463-9416 or (888) 790-0621 Profile information is available on our website, or if you prefer, a copy of your profile information ... ”
Is there a way to check the Profile and/or correct errors?
Profile changes/corrections/updates must be submitted in writing, with a signature. Written changes can be sent to: TMB P.O. Box 2029 MC-906 Austin, TX 78768-2029 (f) 512-463-9416 or (888) 790-0621 Profile information is available on our website, or if you prefer, a copy of your profile information will be provided to you upon request.
“Not at this time. ”
Is there an inactive status for physicians in Texas?
Not at this time.
“Yes. A retired physician whose only clinical practice is the provision of voluntary charity care to indigent populations shall be exempt from the registration fee but must register the license as well as report CME. The physician's practice of medicine must not include the provision of medical servi ... ”
Is there an exemption for retired physicians providing voluntary charity care?
Yes. A retired physician whose only clinical practice is the provision of voluntary charity care to indigent populations shall be exempt from the registration fee but must register the license as well as report CME. The physician's practice of medicine must not include the provision of medical services for either direct or indirect compensation which has monetary value of any kind and the physician's practice is limited to voluntary charity care to indigent populations and receives no direct or indirect compensation of any kind for medical services rendered. Also, the physician's practice cannot include the provision of medical services to family members or the self-prescribing of controlled substances or dangerous drugs. A physician who violates the provisions of this exemption may be subject to disciplinary action. Action may be based on unprofessional or dishonorable conduct likely to deceive, defraud, or injure the public if the physician engages in the compensated practice of medicine, provides medical services to members of the physician's family, or self-prescribes controlled substances or dangerous drugs. Additionally, a physician who attempts to obtain this exemption by submitting false or misleading statements shall be subject to disciplinary action pursuant to the Medical Practice Act, in addition to any civil or criminal actions provided for by the state or federal law.
“There is no limit to the number of physicians who may delegate prescriptive authority to an APRN or PA provided all requirements for such delegation are met. ”
How many delegating physicians may one APRN or PA have?
There is no limit to the number of physicians who may delegate prescriptive authority to an APRN or PA provided all requirements for such delegation are met.
“... s to be utilized, designate one or more alternate physicians; and(9) describe a prescriptive authority quality assurance and improvement plan and how it will be implemented. The plan must require chart reviews and periodic meetings. ”
What must be included in a prescriptive authority agreement?
It depends upon when the agreement was executed. Note that there have been several changes to the law affecting this area in recent legislative sessions. To understand how the law might apply to your situation, you may want to seek the advice of private legal counsel.
For a prescriptive authority agreement executed on or after September 1, 2019, the agreement must, at a minimum:
(1) be in writing and reviewed, signed and dated by the parties to the agreement on an annual basis;
(2) state the name, address, and all professional license numbers of the parties to the agreement;
(3) state the nature of the practice, practice locations, or practice settings;
(4) identify the types or categories of drugs or devices that may be prescribed or the types or categories of drugs or devices that may not be prescribed;
(5) provide a general plan for addressing consultation and referral;
(6) provide a plan for addressing patient emergencies;
(7) state the general process for communication and the sharing of information related to the care and treatment of patients;
(8) if alternate physician supervision is to be utilized, designate one or more alternate physicians; and
(9) describe a prescriptive authority quality assurance and improvement plan and how it will be implemented. The plan must require chart reviews and periodic meetings.
“... thly basis, no matter the length of time that the physicians have been practicing with the delegates under the agreement. ”
How often are meetings required?
It depends upon when the agreement was executed. For prescriptive authority agreements entered into prior to September 1, 2019, factors such as the type of delegate licensure and amount of time spent practicing under an agreement determined the required frequency and manner of meetings. If your agreement was entered into prior to September 1, 2019, you may want to seek the advice of private legal counsel to better understand the law’s requirements.
For prescriptive authority agreements entered on or after September 1, 2019, the law changed so that all prescriptive authority agreements must be conducted on at least a monthly basis, no matter the length of time that the physicians have been practicing with the delegates under the agreement.
“Yes, potentially. Although physicians are not required to supervise CRNA’s for delegated tasks, they nonetheless remain subject to potential liability for violations of the standard of care by CRNAs, depending on federal and state statutes and regulations. The degree to which a physician is re ... ”
Are physicians potentially subject to discipline for violations of the standard of care by CRNAs to whom they have delegated the selection or administration of anesthesia or the care of an anesthetized patient?
Yes, potentially. Although physicians are not required to supervise CRNA’s for delegated tasks, they nonetheless remain subject to potential liability for violations of the standard of care by CRNAs, depending on federal and state statutes and regulations. The degree to which a physician is required to supervise a CRNA during the performance of a task in anesthesia services is left to the “physician’s professional judgment in light of other relevant federal and state laws, facility policies, medical staff bylaws, and ethical standards.” (Texas Attorney General Opinion No. JC-0117). However, physician supervision during the medical management of a patient while undergoing an anesthetic may require supervision dependent on federal and state statutes and regulations.
Additionally, Texas Attorney General Opinion No. KP-0353 found “In authorizing physicians to delegate the administration of anesthesia to CRNAs, the Legislature did not expressly limit the liability of the delegating physician. See TEX. OCC. CODE § 157.058; cf. id. § 157.004(c) (providing that in specified circumstances a physician who issues a standing delegation under chapter 203 generally “is not liable in connection with an act performed under that standing delegation order”). Thus, we cannot conclude that the liability of a physician delegating the administration of anesthesia to a CRNA is limited solely to the determination of competency. Questions of physician liability in any specific context are highly factual and not an appropriate determination for the opinion process. See Tex. Att’y Gen. Op. No. GA-0446 (2006) at 18 (“Questions of fact are not appropriate to the opinion process.”) (Page 4 with emphasis added.)