“A pain management clinic is defined in statute and rule as a publicly or privately-owned facility for which a majority of patients are issued, on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.
A pain management clinic m ... ”
“
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 ... ”
“... ady have a CE Broker account for a license I hold in another state. Do I need to set up a new account for my Texas license?
No. You may simply add your Texas license to your existing CE Broker account. There is no additional fee (one-time or annual) to add your Texas license to an existing CE Broke ... ”
Description: Physician Statistics 2017 Jan - Physicians In and Out of State
Document: DEGREE
IN STATE
OUT OF STATE
TOTAL
MD
55489
13287
68776
DO
4715
1088
5803
UNKNOWN
0
0
0
TOTAL
60204
74579
MEDICAL SCHOOL
IN STATE
OUT OF STATE
TOTAL
Texas Graduate
24806
3277
28083
US Graduate
20645
7195
27840
International Graduate
14753
3903
18656
0
0
0
TOTAL
60204
14375
74579
METHOD OF LICENSURE
...
Description: Physician Statistics 2017 Jan - Physicians by Gender and County
Document: ... TALS
39880
20297
27
60204
ACTIVE PHYSICIANS
NOT IN PRACTICE
801
302
1103
229
Counties not reported have no physicians
TOTAL NUMBER OF COUNTIES REPORTED
Description: Physician Statistics 2017 Jan - Physicians by Age
Document: AGE GROUP
MALE
FEMALE
UNKNOWN GENDER
TOTAL
Age 30 & Under
626
685
1
1312
Age 31 - 35
3994
3937
1
Age 36 - 40
6163
4912
3
11078
Age 41 - 45
6518
4138
9
10665
Age 46 - 50
6486
3384
11
9881
Age 51 - 55
6442
5
9088
Age 56 - 60
6040
2156
5
8201
Age 61 - 65
5717
1510
1
7228
Age 66 - 70
4139
707
0
4846
Ag ...
Description: Medical Radiologic Technology Board Discipline and Ethics Committee Agenda
Document: ... ealth and safety and declared a state of disaster in all counties of Texas.
Pursuant to the certification, the Governor suspended certain op
en
-
meeting provisions that
require government officials and members of the public to be physically present at a specified
meeting location, in an effort t ...
Description: Medical Radiologic Technology Board Full Board Minutes (September 20, 2016)
Document: ... rocesses implemented to address the high increase in calls and the status of a new online resource to allow applicants to upload documents directly into the online system.Agenda item #7, Discussion, recommendation, and possible action regarding applicants appearing concerning eligibility. Applicant ...
Description: Medical Radiologic Technology Board Licensure Committee Minutes (November 10, 2017)
Document: ... lowing restrictions: that the applicant work full time, only in setting that provides continuous fulltime, onsite supervision by a certified Medical Radiologic Technologist or licensed practitioner, as defined under Chapter 601Texas Occupations Code; the supervising Medical Radiologic Technologistor ...
Description: Medical Radiologic Technology Board Licensure Committee Minutes (February 10, 2017)
Document: ... ate
.
Mr. Jaso
seconded the
motion. All voted in favor. The motion passed.
Applicant #1931
appeared before the Committee
to appeal their referral to the Texas Health
Physician’s Program (TPHP)
due the applicant’s criminal history
at the November 2016 Board
meeting.
The applicant p ...
Description: Respiratory Care Board Licensure Committee Minutes (February 24, 2017)
Document: ... to
privately refer
t
he applicant to the Texas Physician’s Health Program
. The
app
licant presented a brief summary
and the Committee members asked questions. Following
discussion,
Dr Chappell moved to grant
a
Resp
iratory Care Practitioner certificate subject
to an Agreed Order due ...
Description: PA Board 2017 March - Full Board Minutes
Document: TEXAS PHYSICIAN ASSISTANT BOARDBOARD MEETINGMarch 24, 2017The meeting was called to order at 10:30a.m. by Jason Cooper, PAC, Presiding Officer. Board members present were: Clayton Clay P. Bulls, PAC; Karrie L. Crosby, PAC, Secretary; Anna
TEXAS HYSICIAN SSISTANT OARDAR ...
Description: Medical Board 2016 - December - Full Board Minutes
Document: ... m.and a quorum was confirmed.Agenda item #6Report Physician Assistant Liaison.Jason Cooper, PA, reported the physician assistant licensing process isup to date. The next Physician Assistant Board meeting is scheduled March 24, 2017Agenda item #was deferred to later in the meeting. Agenda item #9 w ...
Description: Medical Board 2017 - March - Licensure Committee Minutes
Document: ... tee close the meeting to the
public and continue in Executive Session for deliberations concerning Agenda Items 2 and
3a. The motion passed.
Mr. Webb
announced that the meeting would be closed for
deliberations
at
10:16
a.m. concerning
licensee
requests,
licensure
applications
and ...
Description: Hospitals, in certain circumstances, are allowed to directly hire physicians. However, a hospital directly hiring physicians must appoint a chief medical officer and put in place policies to ensure that a physician employed by the hospital exercises the physician's independent medical judgment ...
Document:
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Description: PA Board 2016 November - Full Board Minutes
Document: TEXAS PHYSICIAN ASSISTANT BOARDBOARD MEETINGNovember 4, 2016 The meeting was called to order at 11:13 a.m. by Jason Cooper, PAPresiding OfficerBoard members Karrie L. Crosby, PAC, SecretaryAnna Arredondo ChapmanMaribel De Ponce, PA
TEXAS HYSICIAN SSISTANT OARDEMBER2016
2
Ms. Good ...
Description: Respiratory Care Board Member Listing & Terms
Document: ...
May 23, 2016
–
February 1, 202
7
Physician
Plano
Latana T. Jackson
,
RC
P
May 23,
2016
–
F
ebruary 1, 20
2
9
Therapist
Cedar Hill
Sam G. Marshall, PhD
, RCP
May 23, 2016
–
February 1, 202
7
Therapist
Round Rock
Debra E. Patrick
, RCP
May 23 ...
Description: Rule Changes Effective April 3, 2017
Document: ... c
k on the link below for access to the rule text in the Texas Administrative Code:
http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=3&ti=22&pt=9
RULE CHANGES ADOPTED
CHAPTER 194.
MEDICAL RADIOLOGIC TECHNOLOGY
The amendments to
Chapter 194
changes
the chapter's ti ...
“... 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 ... ”
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.
“To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact th ... ”
My physician license is currently in a retired status. How to I return it to an active status so I can practice?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure.
“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.
“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 ... ”
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.
“At this time, all you must do is fill out the waiver application. No additional information is currently required. ”
What do I need to submit to TMB in order to qualify for a waiver?
At this time, all you must do is fill out the waiver application. No additional information is currently required.
“... 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.”
“... erprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”. ... ”
What if my Board issued ID number is only 5 digits long?
A Board issued 6-digit ID number is required for submitting your fingerprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”.
“... ; While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.st ... ”
I submitted my fingerprints. Why am I still not able to enter the online registration?
Please note that the fingerprint background check results will be required prior to a license being able to access the online registration system. While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.state.tx.us.
“Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Fede ... ”
Can I get my fingerprints done anywhere?
Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.