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Affordable Care Act
Scope of Practice
Healthy Vision 2020
What's Our Policy?
Scope of Practice
Promote Physician-Led Health Care Teams
Texas needs more physicians and other health care professionals working in all parts of the state, especially in rural and border Texas. But the real gains in improving access to and coordination of patient care will come largely from solidifying and expanding the use of physician-led teams. Team-based care capitalizes on the efficiencies of having the right professional providing the right services to the right patient at the right time … with overall direction and coordination in the hands of physicians.
Current Scope Issues
Tax Relief, Medicaid Primary Care Pay Bump in Sight; Scope in Crosshairs
As hearings get under way and lawmakers scramble to fashion a budget at the halfway mark of the 2015 legislative session, graduate medical education funding and tax relief remain a focal point for the legislature, and the House of Medicine has made early progress on both fronts. Lawmakers also heard TMA's call to reinstate the Medicaid-Medicare parity payments for primary care.
Don't Allow Chiropractors to Issue Handicapped Parking Placards
Opposed to HB 126 by Fletcher: Despite the fact that we may agree that it seems there are many handicapped placards in use today, the determination of who may – or who should – use such a placard truly amounts to a medical determination of significant disability. It seems logical to me as a physician that an individual who might quality for such a determination SHOULD be under the ongoing care of a physician licensed to practice medicine.
TMA’s 2015 Legislative Agenda
In unveiling their 2015 Texas legislative agenda, Texas Medical Association (TMA) physicians urge state and federal leaders to enhance the environment in which doctors practice medicine so they can do what they do best — care for patients.
Appeals Court Rules Marriage and Family Therapists Can't Diagnose
The Texas Third District Court of Appeals handed down a favorable decision in TMA's lawsuit against the Texas State Board of Examiners of Marriage and Family Therapists (TSBMFT). The court decided marriage and family therapists cannot diagnose.
TMA Opposes Bill to Expand Audiologists' Scope
TMA and more than 110 national organizations, state and local medical associations, and state and local specialty societies delivered a clear message to members of the U.S. Congress: Oppose any efforts to give audiologists direct, unlimited access to Medicare patients without a physician referral and to include audiologists in the definition of physician. The groups outlined their opposition to House Resolution 5304 in a letter to Congress last month.
Delegation of Duties
Prescriptive Authority Agreement Background Information and Sample Form
The prescribing of drugs and devices is the practice of medicine. Physicians may delegate if appropriate but must supervise in accordance with the standard of care. Physicians ultimately may be held accountable for the delegation and supervision of medical acts.
Information on Delegation of Duties to NPPs
The Texas Medical Association has a number of tools to help physicians manage nonphysician practitioners (NPPs) properly. See TMA's online resources, as well as other helpful information, listed below to learn more about delegation of duties.
TMA Advocacy and Communications
TMA Advocacy and Communications
2015 Testimonies and Letters
2013 Testimonies and Letters
FTC Calls for APRN Independent Practice
(April 15, 2014)
TMA Opposes Audiology Scope Expansion
(April 1, 2014)
Supreme Court to Review Antitrust Enforcement Case
(March 14, 2014)
Board Pulls Plan for Pharmacists to Check Diagnoses
(Feb. 18, 2014)
Sample Template for Delegating and Supervising Prescribing Privileges for APRNs/PAs Under SB 406
(Nov. 15, 2013)
TMA Challenges Dentists' Sleep Apnea Rule
(July 1, 2013)
TMA Letter Challenging Dental Board Rules
(June 18, 2013)
Buried in Paperwork: Improvements in Team-Based Care Help Doctors Delegate
TMA Opposes New Chiropractic Board Rules
(Nov. 16, 2012)
Scope Whac-A-Mole: Expansion Attempts Keep Popping Up
Doctors Targeted: FTC Aims at Scope Limits
Chiropractic Neurology Rules Scrapped
(Aug. 20, 2012)
TMA: No Chiropractice Neurology
- Action (Aug. 1, 2012)
Safety Concerns: TMA Opposes Chiropractors Performing Sports Exams
Appeals Court Backs TMA in Chiro Lawsuit
(April 17, 2012)
Chiropractic Board Withdraws Scope Rules
(Feb. 15, 2012)
Dr. Austin Against Bad Chiropractic Bill HB 3441
(April 12, 2011)
Medicine Under Attack: TMA Defends Patients' Safety, Physicians' Authority
TMA Fact Sheet on Chiropractor Scope Bill
(PDF, April 6, 2011)
TMA Challenges Chiropractors Rules Again
(Jan. 4, 2011)
Foot Fight: TMA Wins Victory in Legal Battle With Podiatrists
TMA Opposes Vestibular Diagnostic Testing by Chiropractors
(Feb. 17, 2010)
Marriage Counselors Suit
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