No. CME is required every 2 years for Texas Physician Assistant Board and is calculated from expiration date to expiration date.  It is also every 2 years for the NCCPA, but it may not be on the same schedule.  In addition, you should check with the NCCPA for their current CME requirements.

You can register a new supervising physician through the Online Supervisions and Prescriptive Delegation Registration System. Please note that this is a 2 step process and that the supervising physician must complete the registration.

The addition of a new supervising physician does not terminate any other supervision that is currently in place. Any current supervising physician relationship can be terminated using the Online Supervisions and Prescriptive Delegation Registration System.

Yes, the PAs supervising physician must delegate prescriptive authority allowing a PA to sign prescriptions for controlled substances, also called scheduled drugs, as well as Dangerous Drugs. However, PA's are generally limited to Schedules III – V (Schedule IIs are allowed in very limited circumstances). All prescription drugs that are not controlled substances fall into the category of "dangerous drugs." Physician assistants with prescriptive authority must have their own DEA numbers to prescribe controlled substances. In addition, physician assistants must have the name of their current delegating physician authorizing prescriptive authority on file with DEA.

Please note: Under Senate Bill 195, the requirement for controlled substances registration (CSR) with the Texas Department of Public Safety (DPS) was eliminated as of September 1, 2016.

There is no limitation to the number of PAs or APNs a physician may supervise. However, a physician may only delegate prescriptive authority to a maximum of seven PA's or APN's, or their full-time equivalent.  The only exception relates to supervision and prescriptive delegation to a medically underserved population or in facility based practice.

There is no limit to the number of supervising physicians a PA may have.

A physician may delegate prescriptive authority to a maximum of seven PA's or APN's, or their full-time equivalent. There are some statutory exceptions for prescriptive delegation to a medically underserved population or in facility based practice. Refer to Board rule 169.

There is no grace period if you do not register your license on time. Once a license becomes delinquent, it is considering practicing without a license to practice as a PA, which may be prosecuted by the local district attorney. The policy of the Board, however, is that the only administrative penalty is the payment of penalty fees required by statute.

Within 30 days of the change or addition. This can be done through the Online Supervisions and Prescriptive Delegation Registration System.

This is done through a log kept at the facility.

Yes, a PA can call in a prescription to a pharmacy. However, the PA can only do so at the direction of a physician.

Board Rule 185.10 covers Physician Assistant Scope of Practice.

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.

The biennial registration fee for office-based anesthesia is a total of $210, per physician and should be combined with the biennial registration.

For off cycle OBA registration, please submit a hard copy registration form with the correct pro-rated fee.  Please note that payments for the incorrect OBA pro-rated fee will be voided, causing a delay in the registration process.  You may email us to request a pro-rated registration form at registrations@tmb.state.tx.us.

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.