TITLE 22.EXAMINING BOARDS

Part 9. TEXAS STATE BOARD OF MEDICAL EXAMINERS

Chapter 163. LICENSURE

22 TAC §§163.1 - 163.7, 163.11, 163.12

The Texas State Board of Medical Examiners adopts amendments to §§163.1-163.7, 163.11 and 163.12, concerning Licensure. Sections 163.1-163.3, 163.5-163.7, 163.11 and 163.12 are adopted without changes to the proposed text as published in the February 27, 2004, issue of the Texas Register (29 TexReg 1828) and will not be republished. Section 163.4 is adopted with changes to the proposed text as published in the February 27, 2004, issue of the Texas Register (29 TexReg 1828). The text of the rule will be republished.

The adoption concerns eligibility for licensure and general clean up of the rules.

Elsewhere in this issue of the Texas Register , the Texas State Board of Medical Examiners adopts the rule review of Chapter 163.

One comment was received from the Texas Medical Association which stated that the Board rule would cause "inappropriate delegation of power to another State's agency," as it relates to the acceptance of medical schools. The Board disagreed because it maintains that the applicant has ample opportunity to prove that their medical school training is equivalent. In addition, the Board is the final authority in these matters.

Section 163.4 is adopted with a minor change to correct a reference in subsection (a)(8)(A). The word "Accrediting" should be "Accreditation."

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.

§163.4.Procedural Rules for Licensure Applicants.

(a) All applicants for licensure:

(1) if appropriate, are encouraged to use 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;

(2) whose applications have been filed with the board in excess of one year will be considered expired. Any fee previously submitted with that application shall be forfeited. Any further request for licensure will require submission of a new application and inclusion of the current licensure fee;

(3) who in any way submit a false or misleading statement, document, or certificate in an application may be required to appear before the board. It will be at the discretion of the board whether or not the applicant will be issued a Texas license;

(4) on whom adverse information is received by the board may be required to appear before the board. It will be at the discretion of the board whether or not the applicant will be issued a Texas license;

(5) shall be required to comply with the board's rules and regulations which are in effect at the time the application form and fee are filed with the board;

(6) may be required to sit for additional oral, written, mental or physical examinations that, in the opinion of the board, are necessary to determine competency and ability of the applicant;

(7) must have the application for licensure complete in every detail 20 days prior to the board meeting in which they are considered for licensure. Applicants with complete applications may qualify for a Temporary License prior to being considered by the board for licensure, as required by section §163.7 of this title (relating to Temporary Licensure - Regular); and

(8) that receive any medical or osteopathic medical education in the United States must have obtained such education while enrolled as a full-time or visiting student at a medical school that is accredited by an accrediting body officially recognized by the United States Department of Education as the accrediting body for medical education leading to the doctor of medicine degree or the doctor of osteopathy degree in the United States. This subsection does not apply to postgraduate medical education or training. An applicant who is unable to comply with this requirement must demonstrate that the applicant either:

(A) received such medical education in a hospital or teaching institution sponsoring or participating in a program of graduate medical education accredited by the Accreditation Council for Graduate Medical Education, the American Osteopathic Association, or the Texas State Board of Medical Examiners in the same subject as the medical or osteopathic medical education if the hospital or teaching institution has an agreement with the applicant's school; or

(B) is specialty board certified by a board approved by the Bureau of Osteopathic Specialists or the American Board of Medical Specialties.

(b) Applicants for a license must subscribe to an oath in writing. The written oath is part of the application.

(c) An applicant is not eligible for a license if:

(1) the applicant holds a medical license that is currently restricted for cause, canceled for cause, suspended for cause, or revoked by a state of the United States, a province of Canada, or a uniformed service of the United States;

(2) an investigation or a proceeding is instituted against the applicant for the restriction, cancellation, suspension, or revocation of the applicant's medical license in a state of the United States, a province of Canada, or a uniformed service of the United States; or

(3) a prosecution is pending against the applicant in any state, federal, or Canadian court for any offense that under the laws of this state is a felony or a misdemeanor that involves moral turpitude.

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 April 12, 2004.

TRD-200402438

Donald W. Patrick, MD, JD

Executive Director

Texas State Board of Medical Examiners

Effective date: May 2, 2004

Proposal publication date: February 27, 2004

For further information, please call: (512) 305-7016


Chapter 164. PHYSICIAN ADVERTISING

22 TAC §164.4

The Texas State Board of Medical Examiners adopts an amendment to §164.4, concerning advertising board certification, without changes to the proposed text as published in the February 27, 2004, issue of the Texas Register (29 TexReg 1836) and will not be republished.

The amendment will provide a method for informing the public of the physician's interest and expertise, as well as identify those physicians possessing board certification.

No comments were received regarding adoption of the rules.

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 April 12, 2004.

TRD-200402439

Donald W. Patrick, MD, JD

Executive Director

Texas State Board of Medical Examiners

Effective date: May 2, 2004

Proposal publication date: February 27, 2004

For further information, please call: (512) 305-7016


Chapter 175. FEES, PENALTIES, AND APPLICATIONS

22 TAC §175.1, §175.4

The Texas State Board of Medical Examiners adopts amendments to §175.1 and §175.4, concerning Fees, Penalties and Applications, without changes to the proposed text as published in the February 27, 2004, issue of the Texas Register (29 TexReg 1837) and will not be republished.

The adoption concerns increases in application and registration fees for licenses and permits issued by the Board and mandated by Texas Online Authority.

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 April 12, 2004.

TRD-200402440

Donald W. Patrick, MD, JD

Executive Director

Texas State Board of Medical Examiners

Effective date: May 2, 2004

Proposal publication date: February 27, 2004

For further information, please call: (512) 305-7016


Chapter 183. ACUPUNCTURE

22 TAC §183.15

The Texas State Board of Medical Examiners adopts an amendment to §183.15, concerning Acupuncture, without changes to the proposed text as published in the February 27, 2004, issue of the Texas Register (29 TexReg 1839) and will not be republished.

The amendment will require licensed acupuncturists to provide information to the public indicating they are licensed by the Texas State Board of Medical Examiners and that acupuncture is their primary field of practice.

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 April 12, 2004.

TRD-200402441

Donald W. Patrick, MD, JD

Executive Director

Texas State Board of Medical Examiners

Effective date: May 2, 2004

Proposal publication date: February 27, 2004

For further information, please call: (512) 305-7016


Chapter 193. STANDING DELEGATION ORDERS

22 TAC §193.6

The Texas State Board of Medical Examiners adopts an amendment to §193.6, concerning Delegation of the Carrying Out or Signing of Prescription Drug Orders to Physician Assistants and Advanced Practice Nurses, without changes to the proposed text as published in the January 23, 2004, issue of the Texas Register (29 TexReg 585) and will not be republished.

The amendment is necessary for a general clean-up in §193.6(l) relating to the wording about controlled substances.

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 April 12, 2004.

TRD-200402442

Donald W. Patrick, MD, JD

Executive Director

Texas State Board of Medical Examiners

Effective date: May 2, 2004

Proposal publication date: January 23, 2004

For further information, please call: (512) 305-7016