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“... sued to avoid penalty fees. If you have not registered your license within 90 days of your license issue date, a penalty fee equal to ½ 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 i ... ”
“... bsp;
Initial Registration – If you have not registered your license within 90 days of your license issue date, a penalty fee equal to ½ 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 i ... ”
“... es necessary to inquire the Board's database as a registered entity.
”
“... 054. Any request by a Health-Care Entity that has registered with the Board will be considered a request for all authorized information regarding the physicians listed.
As of 11/18/2020, any available investigative information or additional board action reports should be avaliable for download withi ... ”
“... ess days to complete.
If your facility is already registered with the Texas Medical Board (TMB) as an HCE, you can use your facilities existing username/password and the link below to log into the TMB’s New HCE verification system.
HCE Verification System - MyTMB
Please see the in ... ”
“... ocational nurse
o licensed registered nurse
o licensed physician assistant
· Provide that such practice of acudetox is not prohibited by the regulatory agency authorizing such practice
... ”
“... ency counselor
licensed vocational nurse
licensed registered nurse
provided that such practice of acudetox is not prohibited by the regulatory agency authorizing such practice
Work under protocol and have access to a licensed Texas physician or a licensed Texas acupuncturist readily available b ... ”
“... sued to avoid penalty fees. If you have not registered your license within 90 days of your license issue date, a penalty fee equal to ½ 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 i ... ”
“... bsp;
Initial Registration – 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 in ... ”
“... f Allied Health Education Programs (CAAHEP),
2) a registered Nurse 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 ... ”
“... th all requirements and regulations pertaining to registered pain clinics, including audits of CME training as required.
Documentation of CME courses shall be made available to the Board upon request but should not be mailed with the registration. CME audits will be conducted to assure compli ... ”
“... groups. Licenses ending with an even number registered for 2 years in 2018. Licenses ending with an odd number registered for one year in 2018 and then registered for two years in 2019. Once the roll out is complete, even license numbers will continue to renew in even years, and od ... ”
“... ity to Physician Assistants (PAs)s. Current registered supervisions and delegations to PAs are displayed in this section of the physician profile. ”
“... gates prescriptive authority to Advanced Practice Registered Nurses (APRNs). Current registered delegations to APRNs are displayed in this section of the physician profile. ”
“... cancellation.
Please note: If you have not registered your license within 90 days of your license issue date, a $75 penalty 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 $150. If you do no ... ”
Description: TMB Bulletin Fall 2000
Document: ... cian Assistant Examiners Governor Appoints Two to PA Board Governor George W. Bush has appointed two new members of the Texas State Board of PhysicianAssistant Examiners. Timothy Webb Timothy Webb, a public member from Houston, graduated from Tennessee State University and the Thurgood Marshall Scho ...
Description: TMB Bulletin Fall 2004
Document: ... t of time the physician is onsite with the APN or PA is sufficient for collaboration to occur, taking into consideration other ways they can collaborate. Waiver requests for limitation on the number of APNs or PAs, or on the number of primary or alternate sites cannot be waived. Waiver requests are ...
Description: TMB Bulletin Fall 2010
Document: ... ical services for the evaluation and treatment of pa-
tients. New §174.9, concerning Technology and Security
Requirements
, establishes requirements relating to technol-
e provision of telemedicine
medical services and physician-patient communications
through e-mail. The proposed rule establishes ...
Description: TMB Bulletin Fall 2008
Document: ... ns for Licensure, clarifies what is an acceptable registered nurse first assisting program and a surgical physician assistant program, deletes surgical assistant programs that are not CAAHEP accredited from being acceptable for purposes of licensure, and updates name of LCC-ST; 184.5, Procedural Rul ...
Description: TMB Bulletin Fall 1997
Document: ... edicine Acupuncture Rules Update CME Reminder for PA's Notice to Physician Assistants Notice to Physician Assistants Who Perform Radiologic Procedures The Texas State Board of Physician Assistant Examine rs Disciplinary Actions
Board Offers Condolences The Board offers condolences to the families o ...
Description: TMB Bulletin Spring 2007
Document: ... was based on allegations that Dr. Spencer was the registered agent and sole proprietor of a professional association doing business as the Family Practice Clinic, and in that capacity he entered a plea of guilty to charges that the clinic made false statements relating to health care matters and sub ...
Description: TMB Bulletin Spring 1997
Document: ... y with the Texas Department of Health; and (c) is registered with the Board. Supervision - Responsibility for and control of quality, radiation safety and protection, and technical aspects of the application of ionizing radiation to human beings for diagnostic purposes.
TRCR - Texas Regulations fo ...
Description: TMB Bulletin Spring 1999
Document: ... to supervise within 30 days of employment of the PA. A PA who is not registered in a timely and proper manner may be subject to disciplinary action by the Board. Documents must be mailed to the Board at MC 232, P.O. Box 2018, Austin TX 78768-2018. Address changes must be in writing and may be submi ...
Description: TMB Bulletin Spring 2009
Document: Medical Board Bulletin Spring 2009
Medical Board Bulletin Spring 09 (1.5Mb pdf)
Texas Medical Board Bulletin The newsletter of the Texas Medical Board Spring 2009 Volume 6, No. 2
Governor Appoints, Reappoints Board Members
Governor Rick Perry has made the following appointments and reappointment ...
Description: Rule Changes October 03, 2010
Document: ... clarify that physicians who delegate to certified registered nurse anesthetists (CRNAs) who only sign or carry out prescription drug orders are not required to register with the Board. The Board has determined that the clarification is necessary, based on the interpretation of Texas Occupations Code ...
Description: Rule Changes August 10, 2008
Document: ... ns for Licensure, clarifies what is an acceptable registered nurse first assisting program and a surgical physician assistant program, deletes surgical assistant programs that are not CAAHEP accredited from being acceptable for purposes of licensure, and updates name of LCC-ST; §184.5, Procedural Ru ...
Description: Press Release February 15, 2008 A (PDF File)
Document: ... ree felony of unlawfully obtaining from a legally registered pharmacist a controlled substance by using a false or forged prescription. The conviction was in relation to his arrest addressed in his 2006 order. TATE, HAROLD A., M.D., LIC. #L5921, LAS VEGAS, NV On February 8, 2008, the Board entered i ...
Description: Press Release February 21, 2007 A (PDF File)
Document: ... was based on allegations that Dr. Spencer was the registered agent and sole proprietor of a professional association doing business as the Family Practice Clinic, and in that capacity he entered a plea of guilty to charges that the clinic made false statements relating to health care matters and sub ...
Description: Press Release March 09, 2011 (PDF File)
Document: ... pain management; however, Stafford Clinic is not registered as a pain management clinic with the Texas Medical Board as required by law. On January 10, 2011, investigators from the Santa Fe Police Department executed a search warrant and seized evidence of the clinic's operation as a "pill mill." P ...
Description: Press Release April 16, 2008 A (PDF File)
Document: ... s for Licensure , clarifies what is an acceptable registered nurse first assisting program and a surgical physician assistant program, deletes surgical assistant programs that are not CAAHEP accredited from being acceptable for purposes of licensure, and updates name of LCC-ST; § 184.5, Procedural R ...
“... uch as a physician assistant or advanced practice registered nurse acting under a physician’s delegated authority) prescribes opioids, benzodiazepines, barbiturates, or carisoprodol, the patient’s prescribing history must be reviewed by the physician or advanced practice professional iss ... ”
Is the Prescription Monitoring Program (PMP) check mandated each and every time a physician or authorized delegate prescribes one of the four scheduled drug types?
Yes. Prior to and each and every time a physician or advanced practice professional (such as a physician assistant or advanced practice registered nurse acting under a physician’s delegated authority) prescribes opioids, benzodiazepines, barbiturates, or carisoprodol, the patient’s prescribing history must be reviewed by the physician or advanced practice professional issuing the prescription. For providers seeking information on how to access the PMP, please review Pharmacy Board PMP information at https://www.pharmacy.texas.gov/pmp/.
“... ur radiology training course, you will need to be registered with Texas Department of Licensing and Regulation (TDLR) as a Podiatric Medical Radiological Technician.Information is available on the TDLR website. ”
Am I eligible for the NCT Registry if I completed only an alternate 20 hour radiology training course for a podiatric medical assistant?
Not at this time. If you are a Podiatric Medical Assistant who completed an alternate 20 hour radiology training course, you will need to be registered with Texas Department of Licensing and Regulation (TDLR) as a Podiatric Medical Radiological Technician.
Information is available on the TDLR website.
“Please submit a written request for the contact update on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information. You may submit your written request to: Texas Medical Board Attn: HCE R ... ”
How do I update the contact name for my registered HCE for the verification system?
Please submit a written request for the contact update on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information. You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018
“... reminder that it is time to register. Permits are registered online and paid for with a credit card or electronic check. Registration forms are not available for printing from our web site. ”
How do I register/renew my NCT Registry listing?
A notice will be sent 60-90 days prior to the expiration date as a reminder that it is time to register. Permits are registered online and paid for with a credit card or electronic check. Registration forms are not available for printing from our web site.
“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.
“... 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 ... ”
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.
“Verifications of OBA registration are available on request. Please submit a written request by mail, fax or email to: Texas Medical BoardAttn: Registration DepartmentP.O. Box 2029 MC 240Austin, TX 78768 fax - (888) 512-2581 ”
How do I verify what level of OBA services an individual is registered for?
Verifications of OBA registration are available on request. Please submit a written request by mail, fax or email to:
Texas Medical Board
Attn: Registration Department
P.O. Box 2029 MC 240
Austin, TX 78768
fax - (888) 512-2581
“... ear - $150 License is considered cancelled if not registered at one year. ”
What are the penalties for physician registering late?
There is a 30-day grace period following expiration of a registration permit. Penalties are as follows: 30 days following expiration of permit - $0 Permit expired longer than 30 days, but less than 91 - $75 Permit expired longer than 90 days, but less than one year - $150 License is considered cancelled if not registered at one year.
“... and owners of clinics that have not been properly registered can be investigated. ”
Who does not need to register a pain management clinic?
Regulations regarding the registration and operation of pain management clinics do not apply to the following settings:
Note: The TMB cannot give legal advice. Please consult an attorney if you have questions regarding whether or not your clinic meets one of the exemptions listed above. However, the Board does have inspection authority, and owners of clinics that have not been properly registered can be investigated.
“A name change or change of address for a registered pain management clinic must be submitted in writing (by mail or fax). Please use the PMC change of address form located here. ”
How do I submit a name change or change of address for my pain management clinic?
A name change or change of address for a registered pain management clinic must be submitted in writing (by mail or fax). Please use the PMC change of address form located here.
“... th all requirements and regulations pertaining to registered pain clinics, including audits of CME training as required. ”
What are the continuing education requirements for pain management clinics?
Per Board Rule 195.4(e), the medical director or owner/operator of the pain management clinic, must on annual basis, ensure all personnel are properly licensed and, if applicable, have the requisite training to include 10 hours of continuing medical education (CME) annually in the area of pain management. This CME requirement applies to all personnel providing medical services to the patients (including, but not limited to: PAs, x-ray techs, phlebotomists, RNs, MAs, etc.). Office staff, such as managers, janitors, etc. who do not provide medical services, would not be required to meet the CME requirement, but would need to be listed in response to a pain clinic audit which requires listing all clinic personnel for that clinic. Documentation of the completed CME course shall be required to be made available upon request by Board Staff, including, but not limited to, during an on-site audit of the clinic, or during the certificate renewal process. The Board does have the authority to conduct audits and inspections at clinics to ensure compliance with all requirements and regulations pertaining to registered pain clinics, including audits of CME training as required.
“... escribe the exact steps that an advanced practice registered nurse or physician assistant must take with respect to each specific condition, disease, or symptom, however. ”
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 be included in one document the prescriptive authority agreement. The prescriptive authority agreement need not describe the exact steps that an advanced practice registered nurse or physician assistant must take with respect to each specific condition, disease, or symptom, however.
“A physician, advanced practice registered nurse, or physician assistant must have an active license to practice that is not suspended, delinquent, or otherwise subject to a disciplinary order that specifically prohibits the licensee from entering into a prescriptive authority agreement. ... ”
What constitutes a license that is in good standing for purposes of entering a prescriptive authority agreement?
A physician, advanced practice registered nurse, or physician assistant must have an active license to practice that is not suspended, delinquent, or otherwise subject to a disciplinary order that specifically 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 under the agreement only to the extent permitted by the board order.
“... delegates anesthesia-related tasks to a certified registered nurse anesthetist (“CRNA”) to supervise the performance of those acts.” (Page 5)However, KP-0353 also found “…the language of chapter 157 is not the only relevant authority to consider in addressing the quest ... ”
When is Physician supervision of a CRNA required?
Regardless of the circumstances when supervision is or is not required, it is important to remember that the delegating physician must abide by all required federal and state statutes and regulations regarding delegation. The physician retains responsibility of the medical management of the patient. Therefore, the delegating physician must consider the delegatee’s education, training, and experience prior to delegating. Additionally, delegation may be revoked by the delegating physician at any time.
The Texas Attorney General has issued three opinions on CRNA supervision. The latest opinion found that although physician supervision of a CRNA is not required in Texas Occupations Code Sec. 157.058, other federal and state statutes and regulations may require physician supervision of a CRNA, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician, and the Legislature did not expressly limit the liability of the delegating physician.
Specifically, Texas Attorney General Opinion KP-0353 found “Section 157.058 of the Occupations Code does not, by itself, require a physician who properly delegates anesthesia-related tasks to a certified registered nurse anesthetist (“CRNA”) to supervise the performance of those acts.” (Page 5)
However, KP-0353 also found “…the language of chapter 157 is not the only relevant authority to consider in addressing the question of physician supervision over acts delegated to a CRNA. Federal regulations limiting Medicare coverage and conditioning hospital participation in Medicare and Medicaid programs require physician supervision of a CRNA when administering anesthesia in certain circumstances. See, e.g., 42 C.F.R. §§ 416.42(b)(2), 482.52(a)(4), 485.639(c)(1)(v), (2) (requiring a CRNA to operate under a physician’s supervision when administering anesthesia in certain circumstances). Furthermore, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician. See TEX. HEALTH & SAFETY CODE §§ 481.002(1)(A) (defining “administer” to require agent to apply controlled substance in presence of physician), .071(a) (prohibiting physician from causing controlled substance to be administered under physician’s “direction and supervision” except for valid medical purpose and in course of medical practice). And a CRNA may not obtain an anesthetic that is a dangerous drug unless a physician has listed that CRNA as the physician’s designated agent. See id. §§ 483.001(4) (defining “designated agent”), .022(a) (requiring physician to name each designated agent in writing). (Page 3 with emphasis added.)
Finally, KP-0353 found “Whether and the extent to which physician supervision is required for an act delegated to a CRNA will depend on the specific act delegated, the type of facility in which the CRNA performs the act, and any relevant regulations of that facility. And while section 157.058 authorizes a physician to delegate to a CRNA, a physician is never required to do so. If a physician is concerned about a CRNA’s ability to perform a delegated act or desires to limit the delegation, the physician retains the authority to refrain from delegating, to limit the delegation, or to supervise the delegation to whatever extent the physician determines necessary. In sum, the authority to delegate provided by section 157.058 of the Occupations Code does not eliminate the need to comply with all other applicable statutes, regulations, bylaws, ethical standards, and a physician’s own professional judgment. See TEX. OCC. CODE § 157.007 (“An act delegated by a physician under [chapter 157] must comply with other applicable laws.”). (Page 4 with emphasis added.)
“... eral Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delega ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.