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Search Term: 'prescriptive authority'

Physician Assistant Supervision

“... the TMB if the physician supervises or delegates prescriptive authority to Physician Assistants (PAs)s.  Current registered supervisions and delegations to PAs are displayed in this section of the physician profile. ”

This content is located on the following page(s): Physician Profile Descriptions

Advanced Practice Nurse Delegation

“... register with the TMB if the physician delegates prescriptive authority to Advanced Practice Registered Nurses (APRNs).  Current registered delegations to APRNs are displayed in this section of the physician profile. ”

This content is located on the following page(s): Physician Profile Descriptions

Physician Assistant License Overview

“... physicians, and if prescribing drugs, must have a prescriptive delegation agreement with their supervising physician(s).  The Licensure Department of the Texas Physician Assistant Board is committed to furthering the mission of the Board by ensuring quality healthcare for the citizens of Texas ... ”

This content is located on the following page(s): Licensing - Physician Assistants | Licensing-PA Overview

Texas Medical Board Overview

“... mplaints filed against physicians; and exercising authority to cancel, revoke, suspend, or otherwise limit the license of any physician upon proof of violation of the Texas Occupations Code (the Medical Practice Act) and/or the Board's rules. Mission The mission of the Texas Medical B ... ”

This content is located on the following page(s): Medical Board

Laws/Practice Acts

“...   PDF  |  Word Chapter 157 -  Authority of Physician to Delegate Certain Medical Acts: HTML  |  PDF  |  Word Chapter 158 - Authority of Physician to Provide Certain Drugs and Supplies: HTML  |  PDF  |  Word Chapter 159 - Physician-Patient C ... ”

This content is located on the following page(s): Practice Acts

Overview of Physician Licenses and Permits

“... ontrolled substances, or delegate medical acts or prescriptive authority. Provisional License is available only to applicants for a full medical license and allows the applicant to practice for 270 days in a medically underserved or health professionals shortage area. Medical License Limited to Unde ... ”

This content is located on the following page(s): Physician Applicants

PA Board Overview

“... and/or the Board's rules; and exercising the authority to cancel, revoke, restrict, suspend or otherwise limit the license of any physician assistant upon proof of violation. Mission The Texas Physician Assistant Board’s mission is to protect and enhance the public’s health, safety, ... ”

This content is located on the following page(s): PA Board

PA Registration/Renewal

“... ce of the expiration date.   Supervision and Prescriptive delegation:  To register Supervision and/or Delegation, use the online system to file the notice of intent to practice/supervise forms required of PAs and physicians AND to register prescriptive authority, prior to beginning to prac ... ”

This content is located on the following page(s): Renewal Physician Assistant

PIT - Eligibility Checklist

“... ;   a medical license, permit, or other authority to practice medicine that is currently restricted for cause, canceled for cause, suspended for  cause, revoked or subject to another form of discipline in a state or territory of the United States, Canada, or a uniformed service of Uni ... ”

This content is located on the following page(s): PIT Eligibility Checklist

Other Delegation FAQs

“... this considered a facility-based practice? Is a prescriptive authority agreement required in a hospital or long term care facility-based practice? At how many facilities can one physician delegate prescriptive authority through protocols? Who may delegate prescriptive authority in a hospital f ... ”

This content is located on the following page(s): Other Delegation FAQs

Online Supervision and Prescriptive Delegation Registration System

“Online Supervision and Prescriptive Delegation Registration System - Click to access system.   Use the online system to register prescriptive authority AND to file the notice of intent to practice/supervise as required of PAs and physicians. Hard copy supervision and delegation forms are no lon ... ”

This content is located on the following page(s): Online Supervision and Delegation Registration System

ALERT – Scam Targeting DEA Registrants & Other Health Professionals

“... ther federal entity. Additionally, the TMB has no authority to issue, cancel, or influence arrest warrants, as some scams have indicated. For more information on reporting scammers, visit: https://www.texasattorneygeneral.gov/consumer-protection/common-scams The DEA previously issued notices to ... ”

This content is located on the following page(s): ALERT: Scams Targeting Licensees

Customer Service E-mail FAQs

“... )      SUPERVISION & PRESCRIPTIVE DELEGATION REGISTRATION   If you have questions regarding the log in for the Supervision and Prescriptive Delegation Registration System, please use the “HELP” options available in the the upper right hand corner on each ... ”

This content is located on the following page(s): Customer Service E-mail FAQs

Facility-Based Prescriptive Delegation

“... to a patient.    For additional FAQs on prescriptive delegation, visit: http://www.tmb.state.tx.us/page/prescriptive-delegation   ”

This content is located on the following page(s): Facility-Based Prescriptive Delegation

Sunset Review

“... gram S.B. 315 Hinojosa (Burkett) — Subpoena Authority and Pain Management Regulation S.B. 674 Schwertner (S. Davis) — Licensing Provisions and Elimination of Dual Registration S.B. 1625 Uresti (Cortez) — Physician Assistant Licensing and Board Provisions To access the TMB's Self-E ... ”

This content is located on the following page(s): Sunset Review

Title: Rule Changes January 25, 2006

Description: Rule Changes January 25, 2006

Document: ... te the reference to registration of delegation of prescriptive authority with the Board; set out rules requiring a physician who delegates prescriptive authority to document when and to whom a delegation is made; and eliminate references to and procedures for Advisory Committee on waivers of require ...

Click to view in browser - rules_012506.pdf
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Title: Rule Changes January 22, 2009

Description: Rule Changes January 22, 2009

Document: ... comport with modern language usage . Chapter 169 Authority of Physicians to Supply Drugs, amending 169.7, Record Keeping, specifies statutory authority for the board to adopt rules regarding complaints. Chapter 173 Physician Profiles , amending to 173.1, Profile Contents, adds required information ...

Click to view in browser - rules_012209.pdf
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Title: Rule Changes January 08, 2004

Description: Rule Changes January 08, 2004

Document: ... the procedure for considering waiver requests for prescriptive delegation. Chapter 194, Non-Certified Radiologic Technicians. Amendments to §§194.1194.4, and 194.6; the repeal of §§194.7-194.10 and new §§194.7-194.9, concerning general cleanup and reorganization of the chapter to update statutory ci ...

Click to view in browser - rules_010804.pdf
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Title: Rule Changes January 06, 2002

Description: Rule Changes January 06, 2002

Document: ... finition of acupuncture and acupuncturist and the authority of an acupuncturist to treat alcoholism and chronic pain without referral. The proposed amendments will also update Occupation Code cites. Chapter 185, Physician Assistants. Proposed amendments to 185.2, 185.7, 185.17, 185.19, 185.21, 185.3 ...

Click to view in browser - rules_010602.pdf
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Title: Press Release January 18, 2011

Description: Press Release January 18, 2011 (PDF File)

Document: ... aring Without Notice took place under the Board's authority, granted by the Medical Practice Act, 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. The physician has the ...

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Title: Press Release January 22, 2009

Description: Press Release January 22, 2009 A (PDF File)

Document: ... positive on even one occasion, the board had the authority to immediately suspend the license. The action took place on Wednesday, January 21. The length of an automatic suspension is indefinite and it remains in effect until the board takes further action. -30- ...

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Title: Press Release January 25, 2003

Description: Press Release January 25, 2003 (PDF File)

Document: ... . This board is committed to using its regulatory authority to protect the public, and uses a variety means to do so, including careful scrutiny of licensure applicants and swift and appropriate disciplinary actions when necessary. We have set a goal to reduce the average number of days for an inves ...

Click to view in browser - pr-012503.pdf
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Title: Press Release February 09, 2005

Description: Press Release February 09, 2005 (PDF File)

Document: ... line. Proposed Rule Change Withdrawn Chapter 170, Authority of Physician to Prescribe for the Treatment of Pain. Proposed repeal of existing chapter and creation of a new chapter regarding the need for patients of Texas to have optimal pain management was withdrawn for further review and comment. Pr ...

Click to view in browser - pr-020905.pdf
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Title: Press Release February 06, 2006

Description: Press Release February 06, 2006 (PDF File)

Document: ... ished Professor Temporary License applicants; the authority of the Texas State Board of Acupuncture Examiners to license and discipline acupuncturist applicants and licensees; and, advice from the Texas State Board of Acupuncture Examiners regarding training programs for acudetox specialists. Discip ...

Click to view in browser - pr-020906.pdf
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Title: Press Release February 11, 2004

Description: Press Release February 11, 2004 (PDF File)

Document: ... issued by the Board and mandated by Texas Online Authority. Chapter 183, Acupuncture, proposed amendment to §183.15 regarding the use of professional titles. For copies of rule changes or proposed rules, write the Board at MC 264, P. O. Box 2018, Austin, TX 78768-2018, or e-mail jill.wiggins@t mb.s ...

Click to view in browser - pr-021104.pdf
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Title: Press Release February 13, 2003

Description: Press Release February 13, 2003 (PDF File)

Document: ... atement and reissuance of a license. Chapter 169, Authority of Physicians to Supply Drugs. Rule review and proposed amendments for general cleanup of the chapter. Chapter 171, Postgraduate Training Permits. Proposed amendments to §171.1 regarding reporting requirements relating to postgraduate tra ...

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Title: Press Release February 13, 2004

Description: Press Release February 13, 2004 (PDF File)

Document: ... ion hearing took place Thursday under the Board's authority to suspend physicians' licenses when it determines there is a threat to the public welfare. The suspension is effective immediately. The panel, composed of one physician and two public members, determined that Dr. Liegel violated the Medica ...

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Title: Press Release February 14, 2002

Description: Press Release February 14, 2002 (PDF File)

Document: ... osed amendment to 193.6 concerning designation of prescriptive authority to alternative practice sites as specified in SB1166. For copies of rule changes or proposed rules, write the Board at MC 901, P.O. Box 2018, Austin, TX 78768-2018, or e-mail jill.wiggins@t mb.state.tx.us ...

Click to view in browser - pr-021402.pdf
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Title: Press Release February 15, 2008

Description: Press Release February 15, 2008 A (PDF File)

Document: ... nd prohibiting him from supervising or delegating prescriptive authority to a physician assistant or advance practice nurse or supervising a surgical assistant. KODALI, SAYOJIRAO, M.D., LIC. #G1691, LONGVIEW, TX On February 8, 2008, the Board and Dr. Kodali entered into an Agreed Order requiring tha ...

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Title: Press Release February 16, 2011

Description: Press Release February 16, 2011 (PDF File)

Document: ... and for one year cease supervising or delegating prescriptive authority to physician extenders. The Board found Dr. Kondejewski violated Board rules regarding the treatment of chronic pain; failed to use proper diligence in his practice; prescribed dangerous drugs to a known abuser; and prescribed ...

Click to view in browser - pr-021611.pdf
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Do the requirements for types of practice sites still apply?

“No.  The old site-based prescriptive authority system is no longer in effect.   ”

Is prescriptive authority required to order durable medical equipment (DME)?

“... sp; SB 406 clarified that it is necessary to have prescriptive authority to order these devices.  In the past, it was not clear to DME suppliers that APRNs and PAs had this authority.  The changes to the law as a result of the passage of SB 406 clearly indicate that APRNs and PAs may order ... ”

Do I have to produce my prescriptive authority agreement or facility-based protocol if a licensing board asks to see it?

“... .  You are required to provide a copy of the prescriptive authority agreement to the board that requested it within three business days.  Although SB 406 did not specifically note that facility-based protocols must also be submitted within this time frame, each licensing board has the auth ... ”

How many miles from my delegating physician can my practice site be?

“SB 406 eliminated site based prescriptive authority.  The law is silent regarding the practice location of the physician and its proximity to the practice site of the APRN or PA. That said, there has been no change in the law that requires that a physician must provide adequate supervision of d ... ”

What are the Texas Medical Board’s requirements for a physician who delegates to an APRN or PA?

“All prescriptive delegation requires adequate supervision under the Medical Practice Act.  As such, a physician delegating to an APRN or PA must adequately supervise those individuals.  An individual physician may serve in both the supervising and delegating role and does not need to be ph ... ”

Do I need to have a protocol in addition to a prescriptive authority agreement?

“APRNs and PAs are required to have delegated authority from a licensed physician in order to provide medical aspects of patient care. Historically, this delegation has occurred through a protocol or other written authorization. Rather than requiring multiple documents, delegation protocols can now b ... ”

Can more frequent meetings be required?

“Yes, as agreed to by the parties to the prescriptive authority agreement.  You may meet more frequently than required by law.  You may not meet less frequently than what is required by law. ”

What constitutes a license that is in good standing for purposes of entering a prescriptive authority agreement?

“... cally prohibits the licensee from entering into a prescriptive authority agreement.    Note that if a licensee’s authority to supervise, delegate, or prescribe devices is limited under a board order, the licensee may enter into a prescriptive authority agreement and practice und ... ”

Do I have to disclose information regarding investigations and discipline?  If so, to whom must this information be disclosed

“Yes.  Prior to signing a prescriptive authority agreement, you must disclose to the other party/parties to the prescriptive authority agreement if you have been disciplined in the past.  This includes disciplinary action taken by licensing boards in other states.  Once you are a party ... ”

What must be included in a prescriptive authority agreement?

“... 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 ... ”

How many charts must be reviewed?

“... o be reviewed is determined by the parties to the prescriptive authority agreement.  The number may vary from one practice setting to another.  Factors such as the length of time the APRN or PA has been in practice, the length of time the physician and APRN or PA have practiced together, w ... ”

How often are meetings required?

“... s 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 a ... ”

Is credit given for time practiced in a supervised prescriptive authority arrangement prior to November 1, 2013?

“... s 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.  For such ... ”

What if an alternate physician is involved in delegation of prescriptive authority on a temporary basis?

“The prescriptive authority agreement designates who may serve as an alternate physician if alternate physician supervision will be utilized.  If an alternate physician(s) will participate in the quality assurance and improvement meetings with the APRN or PA, this information must be included in ... ”

If I work in a clinic owned by the hospital, is this considered a facility-based practice?

“... re not considered facility based practices.  Prescriptive authority agreements are required in these settings. ”