Part 9.
TEXAS STATE BOARD OF MEDICAL EXAMINERS
Chapter 163.
LICENSURE
22 TAC §§163.1, 163.3 - 163.5
The Texas State Board of Medical Examiners adopts amendments
to §§163.1, 163.3-163.5, concerning licensure, without changes to
the proposed text as published in the November 1, 2002, issue of the
The amendments regard examinations accepted by the board and general cleanup
of the chapter.
No comments were received regarding adoption of the rules.
The amendments are adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208447
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
22 TAC §171.2
The Texas State Board of Medical Examiners adopts amendments
to §171.2, concerning postgraduate training programs, with changes to
the proposed text as published in the November 1, 2002, issue of the
Comments were received regarding the amendments. Several comments were
made from The University of Texas M.D. Anderson Cancer Center; Baylor College
of Medicine; a director of a residency program at Texas Tech University Health
Sciences Center; and the Texas ACGME Response Team. The board carefully reviewed
all comments and entered into dialogue with some of the groups during a public
hearing. Several nonsubstantive changes were made to the rule as a result.
In addition, §171.1 is being withdrawn and will be revised prior to republication.
The amendment streamlines the process for issuing postgraduate training
permits.
The amendment is adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
§171.2.Postgraduate Resident Permits.
(a)
This section applies to all physicians who began postgraduate
training in Texas after June 1, 2000. Postgraduate physicians in training
for whom any Texas postgraduate training program was issued an institutional
permit on the physician's behalf before June 1, 2000, shall be governed by §§171.3
of this title (relating to Institutional Permits).
(b)
Definitions.
(1)
Postgraduate Resident: a physician who is in postgraduate
training as an intern, resident, or fellow in an approved postgraduate training
program.
(2)
Approved Postgraduate Training Program: a clearly defined
and delineated postgraduate medical education training program, including
postgraduate subspecialty training programs, approved by the Accreditation
Council for Graduate Medical Education, American Osteopathic Association,
Committee on Accreditation of Preregistration Physician Training Programs,
the Federation of Provincial Medical Licensing Authorities of Canada (internships
prior 1994), the Royal College of Physicians and Surgeons of Canada, the College
of Family Physicians of Canada, or the Texas State Board of Medical Examiners.
(3)
Postgraduate Resident Permit:
(A)
A postgraduate resident permit is a permit issued by the
board in its discretion to a postgraduate resident who does not hold a license
to practice medicine in Texas and is enrolled in an approved postgraduate
training program in Texas, regardless of his/her PGY status within the program.
(B)
The permit shall be effective for an eighteen month period
from the date of issuance.
(C)
A postgraduate permit may be issued for six additional
18-month permits.
(c)
The board, in its discretion, may grant a postgraduate
resident permit to train in an approved postgraduate training program to a
physician who qualifies under this subchapter.
(d)
A postgraduate resident permit holder is restricted to
the supervised practice of medicine that is part of and approved by the training
program. The permit does not allow for the practice of medicine which is outside
of the approved program.
(e)
Qualifications of Postgraduate Permit Holders.
(1)
To be eligible for a postgraduate resident permit, an applicant
must present satisfactory proof to the board that the applicant:
(A)
is at least 18 years of age;
(B)
is of good professional character as elaborated in the
Medical Practice Act §§164.051-.053;
(C)
is one of the following:
(i)
a graduate of a medical school located in the United States
or Canada and approved by the board;
(ii)
a physician who began postgraduate training in Texas before
January 1, 2004 and a graduate of a school or college located outside the
United States or Canada that was not approved by the board at the time the
degree was conferred but whose curriculum meets the requirements for an unapproved
medical school as determined by a committee of experts selected by the Texas
Higher Education Coordinating Board as defined under §163.1(12)(C) and §163.1(12)(D)
of this title (relating to Licensure), unless they have completed a Fifth
Pathway program;
(iii)
a physician who began postgraduate graining in Texas
on or after January 1, 2004 and a graduate of a school or college located
outside the United States or Canada that is not approved by the board, but
is substantially equivalent to a Texas medical school as defined under §163.1(12)
of this title, unless they have completed a Fifth Pathway Program; or
(iv)
a physician who has completed a Fifth Pathway Program.
All Fifth Pathway applicants must have completed all of the didactic work
of the foreign medical school whose curriculum meets the requirements for
an unapproved medical school as determined by a committee of experts selected
by the Texas Higher Education Coordinating Board, but has not graduated from
an unapproved acceptable medical school.
(2)
To be eligible for a postgraduate resident permit, an applicant
must not have:
(A)
a medical license, permit, or other authority to practice
medicine that is currently restricted for cause, cancelled for cause, suspended
for cause, revoked or subject to other discipline in a state or territory
of the United States, a province of Canada, or a uniformed service of the
United States;
(B)
an investigation or proceeding pending against the applicant
for the restriction, cancellation, suspension, revocation, or other discipline
of the applicant's medical license, permit, or authority to practice medicine
in a state or territory of the United States, a province of Canada, or a uniformed
service of the United States;
(C)
a prosecution pending against the applicant in any state,
federal, or Canadian court for any offense that under the laws of this state
is a felony, a misdemeanor that involves the practice of medicine, or a misdemeanor
that involves a crime of moral turpitude;
(3)
To be eligible for a postgraduate resident permit, applicants
who begin postgraduate training in Texas after January 1, 2004 must not have
failed a licensure examination that would prevent the applicant from obtaining
an unrestricted physician license in Texas.
(f)
Application for Postgraduate Resident Permit.
(1)
Application Procedures.
(A)
Applications for a postgraduate resident permit shall be
submitted to the board on or before the sixtieth day prior to the date the
applicant begins postgraduate training in Texas.
(B)
The board's executive director may in his/her discretion
allow substitute documents where exhaustive efforts have been made to secure
the required documents.
(C)
For each document presented to the board which is in a
foreign language, an official word-for-word translation must be furnished.
The board's definition of an official translation is one prepared by a government
official, official translation agency, or a college or university official,
on official letterhead. The translator must certify that it is a "true translation
to the best of his/her knowledge, that he/she is fluent in the language, and
is qualified to translate." He/she must sign the translation with his/her
signature notarized by a Notary Public. The translator's name and title must
be typed/printed under the signature.
(D)
The board's executive director shall review each application
for postgraduate resident permit and shall recommend to the board all applicants
eligible to receive a permit. The executive director shall also report to
the board the names of all applicants determined to be ineligible to receive
a permit, together with the reasons for each recommendation. The executive
director may refer any application to a committee of the board for a recommendation
concerning eligibility.
(E)
An applicant deemed ineligible to receive a permit by the
executive director may request review of such recommendation by the Licensure
committee of the board within 20 days of written receipt of such notice from
the executive director.
(F)
If the committee finds the applicant ineligible to receive
a permit, such recommendation together with the reasons for the recommendation,
shall be submitted to the board unless the applicant makes a written request
for a hearing within 20 days of receipt of notice of the committee's determination.
The hearing shall be before an administrative law judge of the State Office
of Administrative Hearings and shall comply with the Administrative Procedure
Act, the rules of the State Office of Administrative Hearings and the board.
The board shall, after receiving the administrative law judge's proposed findings
of fact and conclusions of law, determine the eligibility of the applicant
to receive a permit. A physician whose application to receive a permit is
denied by the board shall receive a written statement containing the reasons
for the board's action.
(G)
All reports and investigative information received or gathered
by the board on each applicant are confidential and are not subject to disclosure
under the open records law and the Medical Practice Act §160.006. The
board may disclose such reports and investigative information to appropriate
licensing authorities in other states.
(2)
Postgraduate Resident Permit Application. An application
for a postgraduate resident permit must be on forms furnished by the board
and include the following:
(A)
the required fee as mandated in the Medical Practice Act, §153.051
and as construed in board rules, payable by personal check, money order or
cashier's check through a United States bank;
(B)
a certified copy of the applicant's complete medical school
transcript evidencing graduation submitted directly to the board by the school
and /or a notarized "true copy" of the applicant's diploma, if requested;
(C)
a notarized "true copy" of the applicant's valid Educational
Commission for Foreign Medical Graduates (ECFMG) certificate, if the applicant
is a graduate of a medical school located outside the United States unless
the applicant has completed a Fifth Pathway program. All Fifth Pathway applicants
must request an ECFMG Certification Status Report be submitted directly to
the board by the ECFMG, if requested;
(D)
certification by the director of medical education, and
program director or supervising physician, if the director of medical education
is not a physician, of the postgraduate training program on a form provided
by the board that certifies that:
(i)
the program meets the definition of an approved postgraduate
training program in subsection (b) of this section;
(ii)
the applicant has been accepted into the program;
(iii)
the director has received a letter from the dean of the
applicant's medical school which states that the applicant is scheduled to
graduate from medical school before the date the applicant plans to begin
postgraduate training or the director has completed the verification process,
on a form prescribed by the board, to ensure that the applicant is a graduate
of a medical school as set out in subsection (e)(1)(C) of this section; and
(iv)
if the applicant is completing rotations in Texas as part
of the applicant's residency out-of-state training program, the facility at
which the rotations are being completed, and the dates the rotations will
be completed in Texas;
(E)
a certified transcript of exam scores, attempts, and dates
sent directly to the board from each appropriate authority, if requested;
(F)
information regarding the applicant's criminal and disciplinary
history on a form provided by the board;
(G)
information regarding the applicant's ability to practice
medicine on a form provided by the board, if requested;
(H)
an oath on a form provided by the board signed by the applicant
swearing that:
(i)
the applicant's medical license, permit, or authority to
practice medicine in another state or territory of the United States, a province
of Canada, or a uniformed service of the United States is not restricted for
cause, cancelled for cause, suspended for cause, revoked, or subject to other
discipline;
(ii)
no investigation or proceeding is pending against the
applicant for the restriction, cancellation, suspension, revocation, or other
discipline of the applicant's medical license, permit, or authority to practice
medicine in another state or territory of the United States, a province of
Canada, or a uniformed service of the United States;
(iii)
no prosecution is pending against the applicant in any
state or territory, federal, or Canadian court for any offense that under
the laws of this state is a felony, a misdemeanor that involves the practice
of medicine, or a misdemeanor that involves a crime of moral turpitude;
(iv)
the applicant is a graduate of a medical school or is
scheduled to graduate from medical school before the date the applicant plans
to begin postgraduate training;
(v)
the applicant fully understands that the board's issuance
of a postgraduate resident permit to the physician shall not be construed
to obligate the board to issue the physician subsequent permits or licenses
and that the board reserves the right to discipline, investigate, deny a permit,
and/or full licensure to a physician regardless of when the information which
serves as the basis for such action was received by the board; and
(vi)
the applicant has read and is familiar with board rules
and the Medical Practice Act, will abide by board rules and the Medical Practice
Act in activities permitted by this chapter, and will subject themselves to
the disciplinary procedures of the Texas State Board of Medical Examiners.
(I)
written evaluations, on forms provided by the board, from
each facility and/or training program at which applicant has trained or held
staff privileges in the United States or Canada, if requested;
(J)
such other information or documentation the board and/or
the executive director deem necessary to ensure compliance with this chapter,
the Medical Practice Act and board rules.
(3)
Physicians who are applying for a Postgraduate Resident
Permit are recommended to utilize, if appropriate, the Federation Credentials
Verification Service (FCVS) offered by the Federation of State Medical Boards
of the United States (FSMB) to verify medical education, postgraduate training,
licensure examination history, board action history and identity, if documentation
is requested by the board.
(g)
Expiration of Postgraduate Resident Permit.
(1)
Postgraduate resident permits shall be issued with effective
dates corresponding with the beginning date of the postgraduate resident's
training program.
(2)
Postgraduate resident permits shall be effective as provisional
basic postgraduate resident permits for 100 days from the beginning date of
the resident's training program in Texas. After 100 days, the provisional
postgraduate resident permit shall expire but may be extended by the executive
director of the board as a full postgraduate resident permit. Said extension
shall be in the discretion of the executive director of the board contingent
upon the applicant fulfilling the qualifications for a postgraduate permit
and successfully completing the postgraduate resident application. A postgraduate
resident permit may be issued at the discretion of the executive director
of the board at any time an application is complete. One provisional postgraduate
resident permit per application is allowed.
(3)
Postgraduate resident permits shall expire on the earlier
of:
(A)
eighteen months from the date the permit was issued; or
(B)
on the date the physician is terminated or dismissed from
the approved training program.
(4)
A postgraduate resident who holds an unexpired permit may
apply for a new permit for the same training program and same medical specialty
in order to avoid a lapse in coverage by completing the designated application
form provided by the board, paying the required fee and submitting both the
form and fee to the board on or before the expiration date of the resident's
current permit. The required form shall include:
(A)
information regarding the permit holder's criminal and
disciplinary history, professional character, mailing address, and place where
engaged in training since the permit holder's last application;
(B)
certification by the permit holder's program director,
on a form provided by the board, regarding the permit holder's training; and
(C)
such other information or documentation the board and/or
the executive director deem necessary to ensure compliance with this chapter,
the Medical Practice Act and board rules.
(5)
The executive director of the board may, in his/her discretion,
may grant subsequent postgraduate resident permit for good cause shown.
(h)
Board-Approved Postgraduate Training Programs.
(1)
The executive director may in his/her discretion, upon
written request, approve training programs as referenced in subsection (b)(2)
of this section. The initial request must be submitted to the executive director
within 90 days prior to the beginning date of the program. Said training programs
shall be limited to postgraduate subspecialty programs. If the executive director
does not recommend approval, the program's director may appeal to the board
for its discretionary consideration of the request.
(2)
Approval of training programs shall include but not be
limited to the following considerations:
(A)
the goals and objectives of the program;
(B)
the process by which the program selects subspecialty residents;
(C)
whether prior residency training in a related specialty
is required of subspecialty residents in the program;
(D)
the duties and responsibilities required of subspecialty
residents in the program including the number of subspecialty residents to
be enrolled each year and when subspecialty residents are required to be permanently
licensed;
(E)
the formal educational experiences required of subspecialty
residents in the program, including grand rounds, seminars and journal club;
(F)
the scholarly research required of subspecialty residents
in the program, including participation in peer reviewed and funded research
which may result in publications or presentations at regional and national
scientific meetings;
(G)
the type of supervision provided for subspecialty residents
by the program;
(H)
the curriculum vitae, including academic appointments,
of all supervising staff;
(I)
the academic affiliation of the program;
(J)
the methods for evaluation of subspecialty residents by
the program; and
(K)
whether a specialty board that is a member of the American
Board of Medical Specialties or the Bureau of Osteopathic Specialists gives
credit for the program.
(3)
All postgraduate training programs approved by the board
may be re-evaluated every three years to assure compliance with the above
considerations and consideration of continuation of the program. Said re-evaluation
shall not be conducted without six months prior notice by board staff to the
postgraduate subspecialty training program. Permit holders shall be allowed
to complete their training program regardless of continuing program re-evaluation.
(i)
Temporary Postgraduate Resident Permit.
(1)
The executive director of the board may, in his/her discretion,
issue a temporary postgraduate resident permit to a physician who has submitted
a written request, a $50 fee and is in an approved postgraduate training program
with the following limitations:
(A)
For a physician whose application for full postgraduate
resident permit is pending board review, the executive director of the board
may, in his/her discretion, issue a temporary postgraduate resident permit
if the application is complete.
(B)
For a physician whose application for full postgraduate
resident permit is not complete, the executive director of the board may,
in his/her discretion, issue a temporary postgraduate resident permit if the
applicant shows good cause for why the application is incomplete.
(2)
A temporary postgraduate resident permit is valid for 100
days from the date issued. The executive director, in his/her discretion,
may issue additional temporary postgraduate resident permits to an applicant
with a maximum of four temporary permits per physician.
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208448
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
22 TAC §173.1
The Texas State Board of Medical Examiners adopts an amendment
to §173.1, concerning physician profiles, without changes to the proposed
text as published in the November 1, 2002, issue of the
Texas Register
(27 TexReg 10286) and will not be republished.
The amendment concerns board actions contained in the profiles.
No comments were received regarding adoption f the rule.
The amendment is adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208449
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
22 TAC §177.16
The Texas State Board of Medical Examiners adopts an amendment
to §177.16, concerning certification of non-profit health organizations,
without changes to the proposed text as published in the November 1, 2002,
issue of the
Texas Register
(27 TexReg 10287)
and will not be republished.
The amendment updates the Spanish version of the complaint procedure notice.
No comments were received regarding adoption of the rule.
The amendment is adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208450
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
22 TAC §184.19, §184.21
The Texas State Board of Medical Examiners adopts amendments
to §184.19 and §184.21, concerning surgical assistants, without
changes to the proposed text as published in the November 1, 2002, issue of
the
Texas Register
(27 TexReg 10288) and will
not be republished.
The amendment to §184.19 updates the complaint procedure notification.
The amendment allows reference to Chapter 188 of the board's rules without
duplicating the entire text. The amendment to §184.21 corrects an error.
No comments were received regarding adoption of the rules.
The amendments are adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208451
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
The Texas State Board of Medical Examiners adopts amendments to §§187.16,
187.27 and 187.28, concerning procedural rules, without changes to the proposed
text as published in the November 1, 2002, issue of the
Texas Register
(27 TexReg 10289) and will not be republished. Elsewhere
in this issue of the
Texas Register
, the Texas
State Board of Medical Examiners contemporaneously withdraws the amendment
to §187.18. The proposed amendment was previously published in the November
1, 2002, issue of the
Texas Register
.
The amendments regard informal board proceedings at the State Office of
Administrative Hearings, default judgments and discovery.
Two comments were received regarding the amendments. One comment was received
from a law firm, Blazier, Christensen, Bigelow & Virr, regarding written
answers during State Office of Administrative Hearings proceedings. After
consideration of the comment, the Board determined that the requirements of
the rule are within the Board's statutory authority. The second comment was
from Texas Medical Association regarding testimony of witnesses during informal
settlement conferences. After consideration of the comments, §187.18
is being withdrawn and reproposed, incorporating some of the suggested changes.
Subchapter B. INFORMAL BOARD PROCEEDINGS
22 TAC §187.16
The amendments are adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208452
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
22 TAC §187.27, §187.28
The amendments are adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on December 20, 2002.
TRD-200208453
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
22 TAC §188.1
The Texas State Board of Medical Examiners adopts an amendment
to §188.1, concerning complaint procedure notification, without changes
to the proposed text as published in the November 1, 2002, issue of the
The amendment regards changes to the Spanish translation of the complaint
procedure notice.
Elsewhere in this issue of the
Texas Register
, The Texas State Board of Medical Examiners adopts the rule review
of Chapter 188.
No comments were received regarding adoption of the amendment.
The amendment is adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208454
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
22 TAC §197.2, §197.3
The Texas State Board of Medical Examiners adopts amendments
to §197.2 and §197.3, concerning emergency medical services, without
changes to the proposed text as published in the November 1, 2002, issue of
the
Texas Register
(27 TexReg 10294) and will
not be republished.
The amendments are made to definitions and clarification of the responsibilities
of off-line medical directors.
Elsewhere in this issue of the
Texas Register
, the Texas State Board of Medical Examiners adopts the rule review
of Chapter 197.
No comments were received regarding adoption of the rules.
The amendments are adopted under the authority of the Occupations
Code Annotated, §153.001, which provides the Texas State Board of Medical
Examiners to adopt rules and bylaws as necessary to: govern its own proceedings;
perform its duties; regulate the practice of medicine in this state; and enforce
this subtitle.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on December 20, 2002.
TRD-200208455
Donald W. Patrick, MD, JD
Executive Director
Texas State Board of Medical Examiners
Effective date: January 9, 2003
Proposal publication date: November 1, 2002
For further information, please call: (512) 305-7016
Chapter 171.
POSTGRADUATE TRAINING PERMITS
Chapter 173.
PHYSICIAN PROFILES
Chapter 177.
CERTIFICATION OF NON-PROFIT ORGANIZATIONS
Chapter 184.
SURGICAL ASSISTANTS
Chapter 187.
PROCEDURAL RULES
Subchapter C. FORMAL BOARD PROCEEDINGS AT SOAH
Chapter 188.
COMPLAINT PROCEDURE NOTIFICATION
Chapter 197.
EMERGENCY MEDICAL SERVICE
Chapter 199.
PUBLIC INFORMATION