Major Updates to Texas Medical Board Rules: Key Changes for Healthcare Providers

January 9, 2025 – The Texas Medical Board (TMB) has enacted comprehensive updates to its policies, significantly affecting medical spas, IV hydration clinics, and other healthcare facilities across the state. The new regulations, aimed at improving transparency, patient protection, and compliance, introduce crucial changes for healthcare providers to enforce at once.

Transparency Requirements for Medical Spas and IV Clinics

Under Rules 169.28 and 164.3, medical spas and IV hydration clinics ought to now show the delegating medical doctor’s name and Texas medical license number in all public regions and treatment rooms. It is critical for Staff to put on visible identification displaying their names and credentials, and advertising materials must encompass the supervising physician’s info unless selling their primary practice.

Delegation and Supervision Clarifications

Delegation regulations are actually consolidated under Chapter 169, requiring written and signed standing delegation orders. These documents must outline methods, supervision levels, and emergency plans. Physicians have to gain knowledge of or be acquainted with the delegated medical acts. Notably, PAs and APRNs can now offer emergency consultation alongside physicians.

Practitioner-Patient Relationship Emphasis

The TMB has strengthened the need to set up practitioner-patient relationships earlier than performing delegated procedures. This can be completed through in-person visits or telemedicine consultations.

Alternative Medicine and Ketamine Regulations

Practices supplying alternative medicine need to use a forthcoming standardized consent shape. Ketamine treatment regulations continue to be under-office primarily based on anesthesia policies, although new therapeutic uses will undergo review.

Medication Dispensing Limits Revised

While TMB eliminated the 72-hour dispensing out rule, Chapter 158 of the Texas Occupations Code still prohibits physicians from meting out medicines exceeding instant patient needs.

Providers are advised to replace their regulations, signage, and delegation documentation to comply with those adjustments and consult legal suggestions for guidance.