“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: TMB Strategic Plan FY 23-27 (2022)
Document: ... ing and
maintaining standards of excellence used in regulating the practice of medicine and ensuring quality
health care for the citizens of Texas through licensure, discipline and education.
Agency Operational Goals and Action Pla
n
GOAL #1: ENHANCE COMMUNICATION AND PUBLIC AWARENESS
The ...
Description: Physician Statistics 2022 May - Physicians by School of Graduation
Document: PhysiciansbySchoolMay2022
MEDICALSCHOOL
MALE
FEMALE
UNKNOWN
TOTAL
BAYLORCOLLOFMED,HOUSTON,TX
2179
1317
2
3498
MCGOVERNMEDSCHATTHEUNIVOFTEXASHLTHSCICTR,HOUSTON,TX
2796
1878
0
4674
TEXASA&MUNIVHLTHSCICTR,COLLOFMED,COLLEGESTATION,TX
965
817
0
1782
TEXASCHRISTIANUNIVANDUNIVOFNORTHTEXASHLTHSCICTRSCHOFMED ...
Description: Physician Statistics 2022 May - Physicians In and Out of State
Document: PhysiciansInandOutofState
May2022Statisticsareincludedforlocation(basedonpracticeaddress),degree,andnumberoflicenseeswhoareTexas,U.S.orforeignmedicalgraduates,methodoflicensure,gender,typeoflicenseheld,andrace/Hispanicorigin.Note:topromoteconsistencyacrossagencyreports,thedemographicreportsnowinclud ...
Description: Physician Statistics 2022 May - Physicians by Gender and County
Document: PhysiciansbyCountyMay2022
COUNTY
MALE
FEMALE
UNKNOWN
TOTAL
ANDERSON
54
14
0
68
ANDREWS
10
6
0
16
ANGELINA
152
52
0
204
ARANSAS
11
3
0
14
ARCHER
0
0
0
0
ARMSTRONG
0
0
0
0
ATASCOSA
22
9
0
31
AUSTIN
14
0
0
14
BAILEY
2
0
0
2
BANDERA
8
3
0
11
BASTROP
27
21
0
48
BAYLOR
3
3
0
6
BEE
18
2
0
20
BELL
926
492
0 ...
Description: Physician Statistics 2022 May - Physicians by Age
Document: PhysiciansbyAgeMay2022
AGEGROUP
MALE
FEMALE
UNKNOWN
TOTAL
0-30
710
702
0
1412
31-35
4775
4436
1
9212
36-40
6954
5991
1
12946
41-45
7556
5686
2
13244
46-50
7179
4544
6
11729
51-55
7033
3727
8
10768
56-60
6560
2709
6
9275
61-65
5834
1981
5
7820
66-70
4836
1178
1
6015
71-75
2985
474
0
3459
76-120
2280
...
Description: PA Statistics 2022 May - Physician Assistants by School of Graduation
Document: PhysicianAssistantsbySchoolMay2022
PAPROGRAM
MALE
FEMALE
UNKNOWN
TOTAL
BAYLORCOLLOFMED,SCHOFHLTHPROFESSIONS,HOUSTON,TX
107
498
1
606
FORTSAMHOUSTON/UNIVOFNEBRASKA-INCONJUNCTION
154
40
0
194
FORTSAMHOUSTON/UNIVOFOKLAHOMA-INCONJUNCTION
10
2
0
12
HARDIN-SIMMONSUNIV,ABILENETX
20
61
0
81
INTERSERVICEPAPR ...
Description: PA Statistics 2022 May - Physician Assistant by In and Out of State
Document: PhysicianAssistantsInandOutofState
May2022Statisticsareincludedforlocation(basedonpracticeaddress),degree,andnumberoflicenseeswhoareTexas,U.S.orforeignmedicalgraduates,methodoflicensure,gender,typeoflicenseheld,andrace/Hispanicorigin.Note:topromoteconsistencyacrossagencyreports,thedemographicreports ...
Description: PA Statistics 2022 May - Physician Assistant by Gender and County
Document: PhysicianAssistantsbyCountyMay2022
COUNTY
MALE
FEMALE
UNKNOWN
TOTAL
ANDERSON
7
6
0
13
ANDREWS
0
1
0
1
ANGELINA
15
4
0
19
ARANSAS
1
0
0
1
ARCHER
0
0
0
0
ARMSTRONG
0
0
0
0
ATASCOSA
1
3
0
4
AUSTIN
0
2
0
2
BAILEY
0
1
0
1
BANDERA
0
4
0
4
BASTROP
10
12
0
22
BAYLOR
1
0
0
1
BEE
5
4
0
9
BELL
91
112
0
203
BEX ...
Description: PA Statistics 2022 May - Physician Assistant by Age
Document: PhysicianAssistantsbyAgeMay2022
AGEGROUP
MALE
FEMALE
UNKNOWN
TOTAL
0-30
334
1947
0
2281
31-35
483
1902
3
2388
36-40
488
1504
1
1993
41-45
424
1072
2
1498
46-50
472
721
3
1196
51-55
408
450
3
861
56-60
297
283
2
582
61-65
248
244
2
494
66-70
144
123
1
268
71-75
85
27
0
112
76-120
29
7
0
36
TOTAL
3412 ...
Description: Rule Changes Effective July 7, 2022
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 173. PHYSICIAN PROFILES
The amendments to
173.3
, relating to
Physician
-
Initiated Update ...
Description: Certain physician profile updates must be reported to the board within 30 days of after the event (criminal charges and convictions, disciplinary actions by other states, and medical malpractice Jury awards).
Document:
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...
Description: This form is for applicants who did not complete the online application themselves; it was completed by a third party.
Document: ...
address is
Application Type
(eg
–
Physician Full, MRT temp,
Acu
)
:
When
I
applied
to
the
Texas
Medical Board
(Board)
for
licensure,
I
did
not complete
the application
form myself; it was
completed for me by a third party. Therefore, the attestati ...
Description: Respiratory Care Board Full Board Minutes (February 3, 2022)
Document: ... on pending litigation.
Agenda Item #
6, Texas Physician Health Program (TXPHP)
A.
Discussio
n, recommendation, and possible action regarding referrals.
18
-
0261
–
After discussion,
Mr. Marshall moved, Mr. Brown seconded and the motion
passed
for the participant to remain with T ...
Description: TMB Legislative Appropriations Request FY 24-25
Document: ... to obtain a medical license to practice medicine in other member states of the IMLC TMB has requested an appropriation amount to operate at minimum capacity due to guidance issued by the Legislative Budget Board Texas and requested of all state agencies TMB has seen TMB is seeking to capture some ...
Description: Physician Statistics 2022 Sept - Physicians by Age
Document: PhysiciansbyAgeSeptember2022
AGEGROUP
MALE
FEMALE
UNKNOWN
TOTAL
0-30
745
775
0
1520
31-35
4942
4549
1
9492
36-40
7172
6112
1
13285
41-45
7657
5835
2
13494
46-50
7350
4693
5
12048
51-55
7101
3836
8
10945
56-60
6635
2724
6
9365
61-65
5909
2053
4
7966
66-70
4896
1217
2
6115
71-75
2999
498
0
3497
76-120 ...
“... 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.