The Board’s rulemaking process follows all required steps for notice and publication in the Texas Register including opportunities for public comment. Rule drafting and proposed rule changes include input from a wide variety of stakeholders based on periodic stakeholder meetings.
The frequency of rulemaking in any given year varies depending on the volume of newly passed legislation, the number of rule chapters open for review and comment based on state requirements for rule review, and any petitions for rulemaking raised by stakeholders.
Recent Proposed Rules
Click on the links below to access any proposed rules approved by the Board for publication in the Texas Register and available for public comment.
Texas Register September 27, 2024 issue
Board Rule Changes Proposed (Medical Board)
Chapter 160 Medical Board Duties - Preamble and Rule
Chapter 161 Physician Licensure - Preamble and Rule
Chapter 162 Physician Profiles - Preamble and Rule
Chapter 163 Medical Records - Preamble and Rule
Chapter 164 Physician Advertising - Preamble and Rule
Chapter 169 Physician Delegation - Preamble and Rule
Chapter 170 Investigational Agents - Preamble and Rule
Chapter 171 Complementary and Alternative Medicine - Preamble and Rule
Chapter 172 Pain Management Clinics - Preamble and Rule
Chapter 173 Office Based Anesthesia - Preamble and Rule
Chapter 174 Business Organizations - Preamble and Rule
Chapter 175 Telemedicine - Preamble and Rule
Chapter 176 Reporting Malpractice Claims - Preamble and Rule
Chapter 177 Complaints and Investigations - Preamble and Rule
Chapter 179 Procedural Rules - Preamble and Rule
Chapter 180 Violation and Sanction Guidelines - Preamble and Rule
Chapter 181 Compliance Program - Preamble and Rule
Chapter 182 Physicians Health Program - Preamble and Rule
Chapter 185 Surgical Assistants - Preamble and Rule
Repeals:
Repeal Chapter 191 District Review Committees
Repeal Chapter 196 Voluntary Relinquishment or Surrender of a Medical License
Repeal Chapter 199 Public Information
Board Rule Changes Proposed (Physician Assistant Board)
Chapter 183 Physician Assistants - Preamble and Rule
Board Rule Changes Proposed (Acupuncture Board)
Chapter 184 Acupuncture - Preamble and Rule
Board Rule Changes Proposed (Medical Radiologic Technology Board)
Chapter 186 Medical Radiologic Technologists - Preamble and Rule
Board Rule Changes Proposed (Respiratory Care Board)
Chapter 187 Respiratory Care Practitioners - Preamble and Rule
Board Rule Changes Proposed (Advisory Committees)
Chapter 188 Perfusionists - Preamble and Rule
Chapter 189 Medical Physicists - Preamble and Rule
Rulemaking Process
Step 1 - Consider and Publish the rule
The Board considers the rule. If the rule is approved, the rule is published in the Texas Register. The Board will also publish the rule on its public website.
Step 2 – Public Comment and stakeholder meetings
The Board is required to accept comments for a minimum 30 days. TMB strongly encourages written comment to be submitted to the Board. Stakeholder meetings may be held during or after the public comment period.
Step 3 – Comment Review
Staff will review all comments. Staff may aggregate comments that are the same. The staff will present to the Board in step 4.
Step 4 – Adopt or republish the rule.
After steps 1 – 3 are complete, the Board will hold a public hearing and may adopt the rule or make changes and republish the rule. If the Board republishes the rule the process will restart at step 2.