reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 193 - STANDING DELEGATION ORDERS › Section 193.15 - Delegated Drug Therapy Management

Current through Reg. 49, No. 28; July 12, 2024
(a)
				Purpose. This section is promulgated to promote the efficient administration
				and regulation of the delegation by physicians to pharmacists of drug therapy
				management pursuant to § 157.001 of the Act (related to Delegation of
				Certain Functions).
(b) Delegation.
				A physician licensed to practice medicine in Texas may delegate to a properly
				qualified and trained pharmacist acting under adequate supervision the
				performance of specific acts of drug therapy management authorized by the
				physician through the physician's order, standing medical order, standing
				delegation order, or other order or protocol as provided for in this
				section.
(c) Drug therapy
				management. Drug therapy management is the performance of specific acts by
				pharmacists as authorized by a physician through written protocol. Drug therapy
				management does not include the selection of drug products not prescribed by
				the physician unless the drug product is named in the physician initiated
				protocol or the physician initiated record of deviation from a standing
				protocol. Drug therapy management may include the following listed in
				paragraphs (1) - (6) of this subsection:
(1)
				collecting and reviewing patient drug use histories;
(2) ordering or performing routine drug
				therapy related patient assessment procedures including temperature, pulse, and
				respiration;
(3) ordering drug
				therapy related laboratory tests;
(4) implementing or modifying drug therapy,
				including the authority to sign a prescription drug order for dangerous drugs
				as provided in § 157.101(b-1) of the Act, following diagnosis, initial
				patient assessment, and ordering of drug therapy by a physician, as detailed in
				the protocol, provided that the pharmacist:
(A) practices in a hospital, hospital-based
				clinic or an academic health care institution that has bylaws and a medical
				staff policy that permit a physician to delegate to a pharmacist the management
				of a patient's drug therapy;
(B)
				provides the name, address, and telephone number of the pharmacist and of the
				delegating physician on each prescription signed by the pharmacist;
				and
(C) the pharmacist provides a
				copy of the protocol to the Texas State Board of Pharmacy;
(5) generically equivalent drug selection if
				the physician's signature does not clearly indicate that the prescription must
				be dispensed as written; or
(6) any
				other drug therapy related act delegated by a physician.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 193 - STANDING DELEGATION ORDERS › Section 193.16 - Delegated Administration of Immunizations or Vaccinations by a Pharmacist under Written Protocol

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. This
				section is promulgated to promote the efficient administration and regulation
				of the delegation by physicians to pharmacists of the administration of
				immunizations or vaccinations under written protocol pursuant to the §
				157.001 of the Act (related to Delegation of Certain Functions).
(b) Delegation. A physician licensed to
				practice medicine in Texas may delegate to a properly qualified and trained
				pharmacist acting under adequate supervision the administration of
				immunizations and vaccinations authorized by the physician through the
				physician's order, standing medical order, standing delegation order, or other
				order or protocol as provided for in this section.
(c) Delegated Administration of Immunizations
				and Vaccinations under Written Protocol. Administration of Immunizations and
				Vaccinations does not include the selection of drug products not prescribed by
				the physician unless the drug product is named in the physician initiated
				protocol.
(d) Supervision.
				Physician supervision shall be considered adequate for purposes of this section
				if the delegating physician is in compliance with this section and the
				physician:
(1) is responsible for the
				formulation or approval of the physician's order, standing medical order,
				standing delegation order, or other order or written protocol and periodically
				reviews the order or protocol and the services provided to the patient under
				the order or protocol on a schedule defined in the written protocol;
(2) has established a physician-patient
				relationship with each patient under 14 years of age and referred the patient
				to the pharmacist;
(3) is
				geographically located so as to be easily accessible to the pharmacist
				administering the immunization or vaccination;
(4) receives, on a schedule defined in the
				written protocol, a periodic status report on the patient, including any
				problem or complication encountered; and
(5) is available through direct
				telecommunication for consultation, assistance, and direction.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 193 - STANDING DELEGATION ORDERS › Section 193.17 - Nonsurgical Medical Cosmetic Procedures

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. The purpose of this section is
				to establish the duties and responsibilities of a physician who performs or who
				delegates the performance of a nonsurgical medical cosmetic procedure
				(hereafter referred to as "Procedure"). These procedures can result in
				complications and the performance of these procedures is the practice of
				medicine. This rule shall not be interpreted to allow individuals to perform
				procedures without either a physician or midlevel practitioner being onsite, or
				a physician being available for emergency consultation or appointment in the
				event of an adverse outcome.
(b)
				Definitions.
(1)
(1) Midlevel practitioner--A physician
				assistant or advanced practice registered nurse.
(2) Prescription medical device--A device
				that the federal Food and Drug Administration has designated as a prescription
				medical device, and can be sold only to persons with prescriptive authority in
				the state in which they reside.
(3)
				Procedure--A nonsurgical medical cosmetic procedure, including but not limited
				to the injection of medication or substances for cosmetic purposes, the
				administration of colonic irrigations, and the use of a prescription medical
				device for cosmetic purposes.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 193 - STANDING DELEGATION ORDERS › Section 193.18 - Pronouncement of Death

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. These
				rules are promulgated under the authority of the Medical Practice Act, §
				157.001, to allow physicians to receive information from Texas licensed
				vocational nurses through electronic communication for the purpose of making a
				pronouncement of death. Electronic communication includes, but is not limited
				to telephone, facsimile transmission, or electronic mail.
(b) Do not resuscitate order. A do not
				resuscitate (DNR) order must be kept in the patient's file.
(c) Required information. In order to make a
				pronouncement of death through electronic communication, a physician must
				receive, at a minimum, the following information regarding the condition of the
				patient:
(1) absence of palpable pulse for a
				minimum of 60 seconds;
(2) absence
				of discernible blood pressure for a minimum of 60 seconds;
(3) absence of evidence of respiration for a
				minimum of 60 seconds;
(4) absence
				of evidence of heartbeat for a minimum of 60 seconds; and
(5) other information as the physician may
				require.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 193 - STANDING DELEGATION ORDERS › Section 193.20 - Immunization of Persons Over 65 by Physicians' Offices

Current through Reg. 49, No. 28; July 12, 2024
(a) A physician responsible for the
				management of a physician's office that provides ongoing primary or principal
				medical care to persons over 65 years of age ("elderly persons") shall offer,
				to the extent possible as determined by the physician, the opportunity to
				receive the pneumococcal and influenza vaccines to each elderly person who
				receives ongoing care at the office. If the physician decides that it is not
				feasible to offer the vaccine, the physician must provide the person with
				information on other options for obtaining the vaccine.
(b) The physician's office must offer:
(1) the influenza vaccine in October and
				November, and if the vaccine is available, December; and
(2) the pneumococcal vaccine
				year-round.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.1 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of these rules is to implement the provisions
					 of the Medical Radiologic Technologist Certification Act, Texas Occupations
					 Code Chapter 601.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.4 - Guidelines for Early Involvement in Rulemaking Process

Current through Reg. 49, No. 28; July 12, 2024
(a) The Executive Director may designate
				  certain individuals and groups that have an interest in matters under the
				  board's jurisdiction as a stakeholder group and who submit an application on a
				  required form to the board.
(b)
				  Input shall be sought from the stakeholder group on draft board rules prior to
				  submitting the rules to the Texas Medical Board for approval, as appropriate.
(c) A rule adopted under this
				  chapter may not be challenged on the grounds that the advisory board did not
				  comply with this section. If the advisory board was unable to solicit a
				  significant amount of input from the public or affected persons early in the
				  rulemaking process, the board shall state in writing the reasons why it was
				  unable to do so.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.5 - Applicability of Chapter; Exemptions

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Except as specifically exempted by subsections (b) and (c) of this section, the
				  provisions of the Act and this chapter apply to any person representing that he
				  or she performs radiologic procedures.
(b) This chapter does not prohibit the
				  performance of a radiologic procedure by the following:
(1) a person who is a practitioner and
				  performs the procedure in the course and scope of the profession for which that
				  person holds the license; or
(2) a
				  person who performs a radiologic procedure involving a dental x-ray machine,
				  including panarex or other equipment designed and manufactured only for use in
				  dental radiography and under the instruction or direction of a dentist, if the
				  person and the dentist are in compliance with rules adopted under §601.251
				  and §601.252 of the Act, by the Texas State Board of Dental Examiners.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.6 - Procedural Rules and Minimum Eligibility Requirements for Applicants for a Certificate or Placement on the Board's Non-Certified Technician Registry

Current through Reg. 49, No. 28; July 12, 2024
(a) Except as
				  otherwise provided in this chapter, an individual must be certified or hold a
				  temporary certificate as a radiologist assistant, medical radiologic
				  technologist or limited radiologic technologist, or be placed by the board on
				  the registry for non-certified technicians before the individual may perform a
				  radiologic procedure.
(b) Types of
				  Certificates. The board shall issue general certificates, limited certificates,
				  temporary certificates (general or limited), or provisional
				  certificates.
(c) General
				  Requirements.
(1) Except as otherwise
				  required in this section, an applicant for temporary or regular certification
				  as an RA, MRT, or LMRT, or registration as an NCT must:
(A) graduate from high school or its
				  equivalent as determined by the Texas Education Agency;
(B) attain at least 18 years of
				  age;
(C) submit an application on a
				  form prescribed by the board;
(D)
				  pay the required application fee, as set forth under Chapter 175 of this title
				  (relating to Fees and Penalties);
(E) provide a complete and legible set of
				  fingerprints, on a form prescribed by the board, to the board or to the
				  Department of Public Safety for the purpose of obtaining criminal history
				  record information from the Department of Public Safety and the Federal Bureau
				  of Investigation;
(F) certify that
				  the applicant is mentally and physically able to perform radiologic
				  procedures;
(G) not have a license,
				  certification, or registration in this state or from any other licensing
				  authority or certifying professional organization that is currently revoked or
				  suspended;
(H) not have proceedings
				  that have been instituted against the applicant for the restriction,
				  cancellation, suspension, or revocation of certificate, license, or authority
				  to perform radiologic procedures in the state, a Canadian province, or the
				  uniformed service of the United States in which it was issued;
(I) not have pending any prosecution against
				  applicant in any state, federal, or international court for any offense that
				  under the laws of this state is a felony, or an offense that is a misdemeanor
				  of moral turpitude;
(J) be of good
				  professional character as defined under §
												194.2 of
				  this title (relating to Definitions);
(K) submit to the board any other information
				  the board considers necessary to evaluate the applicant's qualifications;
				  and
(L) meet any other requirement
				  established by rules adopted by the board.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.7 - Biennial Renewal of Certificate or Placement on the Board's Non-Certified Technician Registry

Current through Reg. 49, No. 28; July 12, 2024
(a) Temporary
				  Certificates.
(1) A temporary certificate
				  shall expire one year from the date of issue. A person whose temporary
				  certificate has expired is not eligible to reapply for another temporary
				  certificate.
(2) A temporary
				  certificate is not subject to a renewal or extension for any reason.
(3) Persons who hold temporary certificates,
				  either radiologist assistant, general, or limited, are not subject to
				  continuing education requirements set forth under subsection (c) of this
				  section.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.8 - Renewal of Certificate by Out-of-State Person

Current through Reg. 49, No. 28; July 12, 2024
(a) A person who held a certificate in this
				  state, moved to another state, and currently holds a certificate or license and
				  has been in practice in the other state for the two years preceding the date of
				  application may obtain a new certificate without reexamination.
(b) The person must pay to the board a fee
				  that is equal to two times the normally required renewal fee for the
				  certificate.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.9 - Change of Name and Address

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  certificate or NCT general registration holder shall notify the board of
				  changes in name, preferred mailing address, or place(s) of business or
				  employment within 30 calendar days of such change(s).
(b) Notification of address changes shall be
				  made in a manner required by the board.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.10 - Retired Certificate or NCT Registration

Current through Reg. 49, No. 28; July 12, 2024
(a) The registration fee shall not apply to
				  retired certificate or NCT.
(b) To
				  become exempt from the registration fee due to retirement, the individual:
(1) must not be under an investigation or
				  order with the board or otherwise be restricted; and
(2) must request in writing on a form
				  prescribed by the board for his or her certificate or NCT registration to be
				  placed on official retired status.
(3) The following restrictions shall apply to
				  a certificate or NCT registration placed under an official retired status:
(A) the certificate or NCT registration
				  holder must not engage in clinical activities requiring a certificate or NCT
				  registration in Texas or any state; and
(B) the certificate or permit holder's
				  certificate or permit may not be endorsed to any other state.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.11 - Exemption from Registration Fee for Retired Certificate or NCT General Registration Permit Holders Providing Voluntary Charity Care

Current through Reg. 49, No. 28; July 12, 2024
(a) A retired holder of a certificate or NCT
				  General Registration permit by the board whose only practice is the provision
				  of voluntary charity care shall be exempt from the registration fee.
(b) As used in this section:
(1) "voluntary charity care" means medical
				  care provided for no compensation to:
(A)
				  indigent populations;
(B) in
				  medically underserved areas; or
(C) for a disaster relief organization.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.12 - Standards for the Approval of Certificate Program Curricula and Instructors

Current through Reg. 49, No. 28; July 12, 2024
(a) General
				  certificate programs. All curricula and programs to train individuals to
				  perform radiologic procedures must be accredited by accrediting organizations
				  recognized by:
(1) the Council for Higher
				  Education Accreditation, including but not limited to: the JRCNMT; or
(2) the United States Secretary of Education,
				  including, but not limited to JRCERT, ABHES, or SACS.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.13 - Mandatory Training Programs for Non-Certified Technicians

Current through Reg. 49, No. 28; July 12, 2024
(a) General. This
				  section sets out the minimum standards for board approval of mandatory
				  non-certified technician training programs, as required by the Act,
				  §601.201, which are intended to train individuals to perform radiologic
				  procedures which have not been identified as dangerous or hazardous.
				  Non-certified technicians are distinct from individuals performing a radiologic
				  procedure under hardship exemption granted under §
										194.16 of
				  this chapter (relating to Hardship Exemptions).
(b) Training Requirements. In order to
				  successfully complete a program, each student must complete the following
				  minimum training:
(1) courses which are
				  fundamental to diagnostic radiologic procedures:
(A) radiation safety and protection for the
				  patient, self and others--22 classroom hours;
(B) image production and evaluation--24
				  classroom hours; and
(C)
				  radiographic equipment maintenance and operation--16 classroom hours which
				  includes at least 6 hours of quality control, darkroom, processing, and Texas
				  Regulations for Control of Radiation; and
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.15 - Bone Densitometry Training

Current through Reg. 49, No. 28; July 12, 2024
(a) The provisions
				  of this section do not apply to a person who is certified or registered under
				  the Act, a practitioner, a registered nurse, a physician assistant, or other
				  licensed or certified person who is authorized to operate a bone densitometry
				  unit which utilizes x-radiation.
(b) A person who operates a bone densitometry
				  unit(s) which utilizes x-radiation who is in compliance with this section is
				  not required to obtain a hardship exemption as long as the person is not
				  performing radiologic procedures other than bone densitometry.
(c) A person who operates a bone densitometry
				  unit(s) which utilizes x-radiation must have proof that the person is a
				  certified densitometry technologist in good standing with the International
				  Society for Clinical Densitometry (ISCD), or have successfully completed the
				  ARRT bone density exam or has completed at least 20 hours of training as
				  follows:
(1) 16 hours of specific training
				  using bone densitometry equipment utilized x-radiation, presented by a medical
				  radiologic technologist (MRT) or an equipment applications specialist
				  knowledgeable of the specific equipment to be utilized; and
(2) 4 hours of radiation safety and
				  protection training for the patient, operator and others. The training shall be
				  presented by an MRT or a licensed medical physicist. A person must complete the
				  4 hours of radiation safety and protection training every 2 years.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.16 - Hardship Exemptions

Current through Reg. 49, No. 28; July 12, 2024
(a) General.
				  This section sets forth the requirements related to §601.203 of the Act.
(1) A hospital, federally qualified health
				  center (FQHC) as defined by
				  42
				  U.S.C. §
												1396d, or practitioner may
				  apply to the board for a hardship exemption from employing an MRT, LMRT, or
				  NCT.
(2) The following conditions
				  are considered to be a hardship for the purposes of paragraph (1) of this
				  subsection:
(A) the applicant reports an
				  inability to attract and retain medical radiologic technologists and the
				  location for which the hardship exemption is sought is in a county with a
				  population of less than 50,000;
(B)
				  the applicant is located more than 200 miles from a school of medical
				  radiologic technology or non-certified technician education program approved in
				  accordance with §
												194.12
				  of this chapter (relating to Standards for the Approval of Certificate Program
				  Curricula and Instructors) or §
												194.13
				  of this chapter (relating to Mandatory Training Programs for Non-Certified
				  Technicians);
(C) the nearest
				  school of medical radiologic technology approved in accordance with §
												194.12
				  or §
												194.13
				  of this chapter has a waiting list of applicants due to a lack of faculty or
				  space;
(D) the applicant's need for
				  graduates in medical radiologic technology exceeds the number of graduates from
				  the nearest school of medical radiologic technology approved in accordance with
				  §
												194.12
				  or §
												194.13
				  of this chapter; or
(E) emergency
				  conditions have occurred during the 90 days prior to making application for the
				  hardship exemption.
(3)
				  The applicant must demonstrate a hardship in employing an MRT, LMRT, or NCT,
				  and must provide information indicating that the individuals who will perform
				  radiologic procedures meet the minimum requirements as described in subsection
				  (b)(5) of this section.
(4) The
				  applicant shall not allow the individual(s) named in the application to perform
				  a radiologic procedure until the board grants a hardship exemption.
(5) A hardship exemption granted by the board
				  does not constitute licensure, certification, registration, or authorization to
				  perform a dangerous or hazardous radiologic procedure or mammography.
(6) No more than seven individuals will be
				  allowed to perform radiologic procedures under the hardship exemption, if
				  granted.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.17 - Dangerous or Hazardous Procedures

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  General. This section identifies radiologic procedures which are dangerous or
				  hazardous and may only be performed by a practitioner, medical radiologic
				  technologist (MRT) or limited medical radiologic technologist (LMRT). A person
				  trained under §
										194.13
				  of this chapter (relating to Mandatory Training Programs for Non-Certified
				  Technicians) is not an MRT, LMRT or otherwise certified under the Act and shall
				  not perform a dangerous or hazardous procedure identified in this section
				  unless expressly permitted by this section.
(b) Dangerous procedures. Except as otherwise
				  provided in this chapter, the list of dangerous procedures which may only be
				  performed by a practitioner or MRT are:
(1)
				  nuclear medicine studies to include positron emission tomography (PET);
(2) administration of
				  radio-pharmaceuticals; administration does not include preparation or
				  dispensing except as regulated under the authority of the Texas State Board of
				  Pharmacy;
(3) radiation therapy,
				  including simulation, brachytherapy and all external radiation therapy beams
				  including Grenz rays:
(4) computed
				  tomography (CT) or any variation thereof;
(5) interventional radiographic procedures,
				  including angiography, unless performed by an LMRT with a certificate issued in
				  the cardiovascular category;
(6)
				  fluoroscopy unless performed by an LMRT with a certificate issued in the
				  cardiovascular category; and
(7)
				  cineradiography (including digital acquisition techniques), unless performed by
				  an LMRT with a certificate issued in the cardiovascular category.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.19 - Direct Supervision of a Student Required

Current through Reg. 49, No. 28; July 12, 2024
During a student's completion of a radiologic procedure, a
					 practitioner must be physically present and immediately
					 available.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.20 - Identification Requirements

Current through Reg. 49, No. 28; July 12, 2024
An individual certified, registered, or otherwise
					 permitted by the board shall keep the individual's certificate, registration,
					 or permit available for inspection at the individual's primary place of
					 business and shall, when engaged in professional activities, wear a name tag
					 identifying the individual and providing the designated authority under which
					 the procedures are performed.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.21 - Scope of Practice

Current through Reg. 49, No. 28; July 12, 2024
(a) NCTs.
(1) NCTs registered under §
											194.13
				  of this title (relating to Mandatory Training Programs for Non-Certified
				  Technicians) may not perform a dangerous or hazardous procedure as set out in
				  §
											194.17
				  of this title (relating to Dangerous or Hazardous Procedures).
(2) All NCTs may only perform radiologic
				  procedures under the supervision and direction of a practitioner, and must
				  comply with all applicable statutes and rules under the laws governing the
				  practice of the practitioner.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.22 - Grounds for Denial of Certificate, Registration, or Other Approval, and for Disciplinary Action

Current through Reg. 49, No. 28; July 12, 2024
(a) The board may
				  refuse to issue a certificate or other approval to any person and may,
				  following notice and a hearing, take disciplinary or remedial action against
				  any individual who commits a violation under §601.052 and §601.302 of
				  the Act.
(b) Chapter 190 of this
				  title (relating to Disciplinary Guidelines) shall apply to individuals
				  regulated under this chapter to be used as guidelines for the following areas
				  as they relate to the denial of certification, registration, or other
				  authorization related to the provisions of this chapter or disciplinary action
				  of a such individuals:
(1) unprofessional
				  conduct;
(2) disciplinary action
				  by state boards; and
(3)
				  aggravating and mitigating factors.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.23 - Criminal Backgrounds

Current through Reg. 49, No. 28; July 12, 2024
This section sets out the guidelines and criteria related
					 to the board's authority to deny certification, registration, or other
					 approval, or to take disciplinary action based upon a person's criminal
					 background.
(1) The board may suspend
				  or revoke any certificate, registration, or other approval; disqualify a person
				  from receiving any certificate, registration, or other approval; or deny to a
				  person the opportunity to be examined for a certificate if the person is
				  convicted of or subject to a deferred adjudication, enters a plea of nolo
				  contendere or guilty to a felony or misdemeanor, and if the crime directly
				  relates to the duties and responsibilities of a certificate, registration, or
				  permit holder.
(2) In considering
				  whether a pleading of nolo contendere or a criminal conviction directly relates
				  to the occupation of a holder of a certificate, registration, or other
				  approval, the board shall consider:
(A) the
				  nature and seriousness of the crime;
(B) the relationship of the crime to the
				  purposes for certification, registration, or other approval; and
(C) the extent to which a certification,
				  registration, or other approval might offer an opportunity to engage in further
				  criminal activity of the same type as that which the person previously has been
				  involved.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.24 - Administrative Penalties

Current through Reg. 49, No. 28; July 12, 2024
(a) Pursuant to
				  §601.351 of
				  the Act, the board by order may impose an administrative penalty against a
				  person regulated under the Act who violates the Act or a rule or order adopted
				  under the Act.
(b) The penalty for
				  each violation may be in an amount not to exceed $1,000. Each day a violation
				  continues or occurs is a separate violation for purposes of imposing a penalty.
(c) The amount of the penalty
				  shall be based on the following factors set forth under §601.352(b) of the
				  Act:
(1) the seriousness of the violation;
(2) the history of previous
				  violations;
(3) the amount
				  necessary to deter a future violation;
(4) efforts made to correct the violation;
				  and
(5) any other matter that
				  justice may require.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.25 - Procedure

Current through Reg. 49, No. 28; July 12, 2024
Chapter 187 of this title (relating to Procedural Rules)
					 shall govern procedures relating to persons subject to the Act where
					 applicable. If the provisions of Chapter 187 of this title conflict with the
					 Act or rules under this chapter, the Act and provisions of this chapter shall
					 control.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.26 - Compliance

Current through Reg. 49, No. 28; July 12, 2024
Chapter 189 of this title (relating to Compliance Program)
					 shall be applied to persons subject to the Act and who are under board orders
					 and remedial plans. If the provisions of Chapter 189 of this title conflict
					 with the Act or rules under this chapter, the Act and provisions of this
					 chapter shall control.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.27 - Reissuance of Certificate or Permit Following Revocation

Current through Reg. 49, No. 28; July 12, 2024
(a) The applicant must complete in every
				  detail the application for reissuance of a certificate, registration, or permit
				  following revocation including payment of the required application fee.
(b) The applicant must appear
				  before the board to state the reasons for the request for reissuance of
				  certificate, registration, or permit.
(c) Application for reissuance of a
				  certificate, registration, or permit following revocation cannot be considered
				  more often than annually.
(d)
				  Reissuance of a certificate, registration, or permit following revocation shall
				  be at the discretion of the board upon a showing by the applicant that
				  reissuance is in the best interest of the public.
(e) A person may not apply for reissuance of
				  a certificate, registration, or permit that was revoked before the first
				  anniversary date on which the revocation became effective.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.28 - Complaints

Current through Reg. 49, No. 28; July 12, 2024
Chapter 178 of this title (relating to Complaints) shall
					 govern individuals subject to the Act with regard to procedures for the
					 initiation, filing and appeals of complaints and methods of notification for
					 filing complaints with the agency. If the provisions of Chapter 178 of this
					 title conflict with the Act or rules under this chapter, the Act and provisions
					 of this chapter shall control.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.29 - Investigations

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Confidentiality. All complaints, adverse reports, investigation files, other
				  investigation reports, and other investigative information in the possession
				  of, or received, or gathered by the board, the Medical Board, or such boards'
				  employees or agents relating to a certificate, registration, permit, or an
				  application for such approval, or a criminal investigation or proceeding are
				  privileged and confidential and are not subject to discovery, subpoena, or
				  other means of legal compulsion for their release to anyone other than the
				  board, the Medical Board, or the boards' employees or agents involved in
				  discipline of individuals subject to the Act.
(b) Patient identity. In any disciplinary
				  investigation or proceeding regarding an individual subject to the Act and
				  conducted under or pursuant to the Act, the board shall protect the identity of
				  any patient whose medical records are examined and utilized in a public
				  proceeding except for those patients who testify in the public proceeding or
				  who submit a written release in regard to their records or identity.
(c) Permitted disclosure of investigative
				  information. Investigative information in the possession of the board, the
				  Medical Board, or its employees or agents which relates to licensee discipline
				  and information contained in such files may not be disclosed except in the
				  following circumstances:
(1) a licensing
				  authority in another state or country in which the certificate holder or person
				  is licensed, certified, or permitted or has applied for a license,
				  certification, or permit; or
(2) a
				  medical peer review committee reviewing:
(A)
				  an application for privileges; or
(B) the qualifications of the certificate
				  holder or person with respect to retaining privileges; and
(C) to other persons if required during the
				  investigation.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.31 - Third Party Reports to the Board

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Any individual regulated by the Act shall report relevant information to the
				  board related to the acts of any certificate, registration, or permit holder
				  issued under the Act and practicing in this state if, in the opinion of the
				  person that the certificate, registration, or permit holder poses a continuing
				  threat to the public welfare through his or her practice in radiologic
				  technology. The duty to report under this section shall not be nullified
				  through contract.
(b) Reporting a
				  Continuing Threat to the Public.
(1) Relevant
				  information shall be reported to the board indicating that an individual who is
				  regulated by the Act poses a continuing threat to the public welfare and shall
				  include a narrative statement describing the time, date, and place of the acts
				  or omissions on which the report is based.
(2) A report that an individuals practice of
				  radiologic technology constitutes a continuing threat to the public welfare
				  shall be made to the board as soon as possible after the individual involved
				  reaches that conclusion and is able to assemble the relevant information.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.32 - Duty to Report Certain Conduct to the Board

Current through Reg. 49, No. 28; July 12, 2024
A certificate, registration, or permit holder shall report
					 the following to the board within 30 days after the event:
(1) Any change of address;
(2) Incarceration in a state or federal
				  penitentiary;
(3) An initial
				  conviction, final conviction, or placement on deferred adjudication, community
				  supervision, or deferred disposition for:
(A)
				  a felony;
(B) a misdemeanor that
				  directly relates to the directly relates to the duties and responsibilities of
				  a MRT, LMRT or NCT;
(C) a
				  misdemeanor involving moral turpitude;
(D) a misdemeanor under Chapter 22, Penal
				  Code (relating to assaultive offenses), other than a misdemeanor punishable by
				  fine only;
(E) a misdemeanor on
				  conviction of which a defendant is required to register as a sex offender under
				  Chapter 62, Code of Criminal Procedure;
(F) a misdemeanor under §
											25.07,
				  Penal Code (relating to the violation of a protective order or a magistrate's
				  order); or
(G) a misdemeanor under
				  §
											25.071,
				  Penal Code (relating to the violation of a protective order preventing offenses
				  caused by bias or prejudice); or
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.33 - Voluntary Relinquishment or Surrender of Certificate or Permit

Current through Reg. 49, No. 28; July 12, 2024
Pursuant to §601.305
					 of the Act, the board may accept the voluntary relinquishment or surrender of a
					 certificate or permit. Chapter 196 of this title (relating to Voluntary
					 Relinquishment or Surrender of a Medical License) shall govern the voluntary
					 relinquishment or surrender of a certificate or permit in a similar manner as
					 that chapter applies to a medical license. Section
					 194.6
					 of this chapter (relating to Procedural Rules and Minimum Eligibility
					 Requirements for Applicants for a Certificate or Placement on the Board's
					 Non-Certified Technician General Registry) shall govern reapplication after a
					 voluntary relinquishment or surrender.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 194 - MEDICAL RADIOLOGIC TECHNOLOGY › Subchapter A - CERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES › Section 194.34 - Exemption from Licensure for Certain Military Spouses

Current through Reg. 49, No. 28; July 12, 2024
(a) The executive director of the Texas
				  Medical Board must authorize a qualified military spouse to practice medical
				  radiologic technology in Texas without obtaining a certificate or permit in
				  accordance with §
										55.0041(a),
				  Texas Occupations Code. This authorization to practice is valid during the time
				  the military service member to whom the military spouse is married is stationed
				  at a military installation in Texas, but not to exceed three years.
(b) In order to receive authorization to
				  practice the military spouse must:
(1) hold
				  an active medical radiologic certificate or permit in another state, territory,
				  Canadian province, or country that:
(A) has
				  licensing or certification requirements that are determined by the board to be
				  substantially equivalent to the requirements for certification in Texas;
				  and
(B) is not subject to any
				  restriction, disciplinary order, probation, or
				  investigation;
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 195 - PAIN MANAGEMENT CLINICS › Section 195.1 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
Pain management clinics at which a majority of patients are
				  treated for chronic pain are subject to Chapter 168 of the Act, unless
				  otherwise exempted. In determining if the clinic is treating a majority of
				  patients for chronic pain, one of the primary indicators is the prescribing of
				  opioids. The Board will utilize the following definitions in making that
				  determination:
(1) Acute pain--the
				normal, predicted, physiological response to a stimulus such as trauma,
				disease, and operative procedures. Acute pain is time limited to no later than
				30 days from the date of the initial prescription for opioids during a period
				of treatment related to the acute condition or injury. Acute pain does not
				include, chronic pain, pain being treated as part of cancer care; pain being
				treated as part of hospice or other end-of-life care; pain being treated as
				part of palliative care; or post-surgical, post-procedure, or persistent
				non-chronic pain.
(2) Chronic
				pain--pain that is not relieved with acute, post-surgical, post-procedure, or
				persistent non-chronic pain treatment. This type of pain is associated with a
				chronic pathological process that causes continuous or intermittent pain for no
				less than 91 days from the date of the initial prescription for opioids.
				Medical practices treating this type of pain patient may be subject to Chapter
				168 of the Act.
(3) Post-surgical,
				post-procedure, persistent non-chronic pain--pain that occurs due to trauma
				caused by the surgery or procedure; or an underlying condition, disease, or
				injury causing persistent non-chronic pain. These types of pain last 90 days or
				less, but more than 30 days, from the date of initial prescriptions for opioids
				during a period of treatment.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 9 - TEXAS MEDICAL BOARD › Chapter 195 - PAIN MANAGEMENT CLINICS › Section 195.3 - Certification of Pain Management Clinics

Current through Reg. 49, No. 28; July 12, 2024
(a) Any clinic meeting the definition of a
				pain management clinic under Section 168.001 of the Act must be
				certified.
(b) Certification
				requires:
(1) a Board approved application
				filed by a physician owner of the clinic. If there are multiple physician
				owners, the application must be filed by one of the majority of owners, or if
				there are no majority owners, then each physician owner is responsible for
				designating one physician owner to file an application.
(2) providing the following documentation:
(A) proof of ownership of the clinic, which
				may include filing with county clerks, the Comptroller and Secretary of State,
				as applicable;
(B) days and hours
				of operation;
(C) name of medical
				director;
(D) list of employees,
				including contract physicians and other healthcare providers, and their
				applicable education, qualifications, training and professional
				licenses;
(E) protocols and
				standing delegation orders issued by licensed physicians to healthcare
				providers; and
(F) proof of payment
				of the required filing fee.