Texas Administrative Code
Title 22 - EXAMINING BOARDS
Part 9 - TEXAS MEDICAL BOARD
Chapter 163 - LICENSURE
Section 163.4 - Procedural Rules for Licensure Applicants
Universal Citation: 22 TX Admin Code ยง 163.4
Current through Reg. 49, No. 38; September 20, 2024
(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
unless otherwise provided by §
175.5
of this title (relating to Payment of Fees or Penalties). Any further request
for licensure will require submission of a new application and inclusion of the
current licensure fee. An extension to an application may be granted under
certain circumstances, including:
(A) Delay
by board staff in processing an application;
(B) Application requires Licensure Committee
review after completion of all other processing and will expire prior to the
next scheduled meeting;
(C)
Licensure Committee requires an applicant to meet specific additional
requirements for licensure and the application will expire prior to deadline
established by the Committee;
(D)
Applicant requires a reasonable, limited additional period of time to obtain
documentation after completing all other requirements and demonstrating
diligence in attempting to provide the required documentation;
(E) Applicant is delayed due to unanticipated
military assignments, medical reasons, or catastrophic events.
(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 §
172.11
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 board 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;
(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; or
(4)
the applicant has violated §170.002 or Chapter 171, Texas Health and
Safety Code.
(d) Review and Recommendations by the Executive Director.
(1) The executive director shall review
applications for licensure and may determine whether an applicant is eligible
for licensure or refer an application to a committee of the board for review.
If an applicant is determined to be ineligible for a license by the executive
director pursuant to §§155.001 - 155.152 of the Act, Chapter 163 of
this title (relating to Licensure), Chapter 171 of this title (relating to
Postgraduate Training Permits), or Chapter 172 of this title (relating to
Temporary and Limited Licenses), the applicant may request review of that
determination by a committee of the board. The applicant must request the
review not later than the 20th day after the date the applicant receives notice
of the determination.
(2) If the
Executive Director determines that the applicant clearly meets all licensing
requirements, the Executive Director or a person designated by the Executive
Director, may issue a license to the applicant, to be effective on the date
issued without formal board approval, as authorized by §155.002(b) of the
Act.
(3) If the Executive Director
determines that the applicant does not clearly meet all licensing requirements,
a license may be issued only upon action by the board following a
recommendation by the Licensure Committee, in accordance with §155.007 of
the Act (relating to Application Process) and §
187.13
of this title (relating to Informal Board Proceedings Relating to Licensure
Eligibility).
(4) To promote the
expeditious resolution of any licensure matter, the executive director with the
approval of the board, may recommend that an applicant be eligible for a
license, but only under certain terms and conditions and present a proposed
agreed order or remedial plan to the applicant.
(A) If the proposed agreed order or remedial
plan is acceptable to the applicant, the applicant shall sign the
order/remedial plan and the order/remedial plan shall be presented to the board
for consideration and acceptance without initiating a Disciplinary Licensure
Investigation (as defined in §
187.13
of this title) or appearing before the licensure committee concerning issues
relating to licensure eligibility.
(B) If the proposed agreed order or remedial
plan is not acceptable to the applicant, the applicant may:
(i) request a review of the executive
director's recommendation by a committee of the board conducted in accordance
with §
187.13
of this title. The applicant must request review not later than the 20th day
after the date the applicant receives notice of the executive director's
recommendation; or
(ii) withdraw
their application.
(5) If the Executive Director determines that
the applicant is ineligible for licensure based on one or more of the statutory
or regulatory provisions listed in subparagraphs (A) - (D) of this paragraph,
the applicant may appeal that decision to the Licensure Committee before
completing other licensure requirements for a determination by the Committee
solely regarding issues raised by the determination of ineligibility. If the
Committee overrules the determination of the Executive Director, the applicant
may then provide additional information to complete the application, which must
be analyzed by board staff and approved before a license may be issued. Grounds
for ineligibility under this subsection include noncompliance with the
following:
(A) Section 155.003(a)(1) of the
Act that requires the applicant to be 21 years of age;
(B) Section 155.003(b) and (c) of the Act
that require that medical or osteopathic medical education received by an
applicant must be accredited by an accrediting body officially recognized by
the United States Department of Education, or meet certain other requirements,
as more fully set forth in subsection (a)(8) of this section,
§§163.5(b)(11), 163.5(c)(2)(C), 163.5(c)(2)(D), and 163.1(11)(B)(iii)
and (iv) of this chapter;
(C)
Sections 155.051 - 155.0511, and 155.056 of the Act that relates to required
licensure examinations and examination attempts; and
(D) Section
163.6(e)
of this chapter (relating to Examinations Accepted for Licensure) that requires
passage of the Jurisprudence Examination.
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