Senate Bill 202 transferred four occupational regulatory programs from the Department of State Health Services (DSHS) to the Texas Medical Board (TMB). Medical Physicists, Medical Radiologic Technologists, Perfusionists, and Respiratory Care Practitioners will now be regulated by the TMB and each occupation’s respective board/advisory committee. The transfer of these four programs also included the transfer of the NCT Registry (including Hardship Exemptions). Current rules in effect for these occupational programs will continue to be in effect until amended by TMB, as directed by S.B. 202.
Senate Bill 202 also set forth new fingerprinting and criminal background check requirements for all persons performing radiologic procedures in the State, including those that are performing the procedures under a Hardship Exemption. TMB is now engaged in creating and implementing a process related to performing such criminal background checks for all new and renewing applicants requesting a Hardship Exemptions.
- A hospital, federally qualified health center (FQHC) or practitioner may apply for a hardship exemption from employing an MRT, LMRT, or NCT.
- The applicant must demonstrate a hardship in employing an MRT, LMRT, or NCT, as described in Texas Administrative Code Title 25, Part 1, Chapter 140, Subchapter J, Rule 140.520(b)(5).
- The hardship exemption applicant shall not allow a person who is not an MRT, LMRT, or NCT to perform a radiologic procedure until a hardship exemption is granted.
- The hospital, FQHC, or a practitioner must reapply annually for the exemption and meet the then current requirements for a hardship exemption. Please note that a hospital, FQHC, or a practitioner who does not reapply for an exemption shall not allow a person to perform a radiologic procedure unless the person is a practitioner, MRT, LMRT, or NCT.
- If you had a pending application with the DSHS, those applications have been transferred to the TMB. Your new TMB licensure analyst will contact you by email regarding the status of your application once they have had an opportunity to review the existing information.
- If you were granted a previous Hardship Exemption through DSHS expiring between September 1, 2015 and January 31, 2016, and you have reapplied for your Hardship Exemption, your current exemption is considered extended until March 31, 2016
- Please note compliance with fingerprinting requirements under SB202 will be required as part of your reapplication.
Please note that at this time the Hardship Exemption application is available in hard copy only.
Communication with the Board
Additional information and supplemental forms may be submitted using the US Postal Service or a private overnight delivery service. Board staff will communicate with applicants by e-mail, if an address is provided, or by letter using the US Postal Service.