2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle A - Provisions Applying to Health Professions Generally › Chapter 111 - Telemedicine, Teledentistry, and Telehealth › Section 111.005. Practitioner-Patient Relationship for Telemedicine Medical Services or Teledentistry Dental Services

Sec. 111.005.  PRACTITIONER-PATIENT RELATIONSHIP FOR TELEMEDICINE MEDICAL SERVICES OR TELEDENTISTRY DENTAL SERVICES.  (a)  For purposes of Section 562.056, a valid practitioner-patient relationship is present between a practitioner providing a telemedicine medical service or a teledentistry dental service and a patient receiving the service as long as the practitioner complies with the standard of care described in Section 111.007 and the practitioner:
(1)  has a preexisting practitioner-patient relationship with the patient established in accordance with rules adopted under Section 111.006;
(2)  communicates, regardless of the method of communication, with the patient pursuant to a call coverage agreement established in accordance with:
(A)  Texas Medical Board rules with a physician requesting coverage of medical care for the patient; or
(B)  State Board of Dental Examiners rules with a dentist requesting coverage of dental care for the patient; or
(3)  provides the telemedicine medical services or teledentistry dental services through the use of one of the following methods, as long as the practitioner complies with the follow-up requirements in Subsection (b), and the method allows the practitioner to have access to, and the practitioner uses, the relevant clinical information that would be required in accordance with the standard of care described in Section 111.007:
(A)  synchronous audiovisual interaction between the practitioner and the patient in another location;
(B)  asynchronous store and forward technology, including asynchronous store and forward technology in conjunction with synchronous audio interaction between the practitioner and the patient in another location, as long as the practitioner uses clinical information from:
(i)  clinically relevant photographic or video images, including diagnostic images; or
(ii)  the patient's relevant clinical records, such as the relevant medical or dental history, laboratory and pathology results, and prescriptive histories; or
(C)  another form of audiovisual telecommunication technology that allows the practitioner to comply with the standard of care described in Section 111.007.
(b)  A practitioner who provides telemedicine medical services to a patient as described in Subsection (a)(3) shall:
(1)  provide the patient with guidance on appropriate follow-up care; and
(2)  if the patient consents and the patient has a primary care physician, provide to the patient's primary care physician within 72 hours after the practitioner provides the services to the patient a medical record or other report containing an explanation of the treatment provided by the practitioner to the patient and the practitioner's evaluation, analysis, or diagnosis, as appropriate, of the patient's condition.
(c)  Notwithstanding any other provision of this section, a practitioner-patient relationship is not present if a practitioner prescribes an abortifacient or any other drug or device that terminates a pregnancy.
Added by Acts 2017, 85th Leg., R.S., Ch. 205 (S.B. 1107), Sec. 3, eff. May 27, 2017.
Amended by:
Acts 2021, 87th Leg., R.S., Ch. 811 (H.B. 2056), Sec. 6, eff. September 1, 2021.
Acts 2021, 87th Leg., R.S., Ch. 811 (H.B. 2056), Sec. 7, eff. September 1, 2021.