Stories with related Professional Interests

Opioid Overreach? State, Retail Pharmacy Policies Prompt Scope-of-Practice Concerns - 12/07/2018

Worries over what’s been termed a national opioid epidemic is leading to new state and corporate pharmacy policies that could blur the line between the practice of pharmacy and the practice of medicine.


Should Texas Change the Rules for APRNs? - 11/13/2018

Texas is facing a chronic physician shortage, especially in rural areas and urban cities. Some argue that giving advanced practice registered nurses more leeway to prescribe and treat patients will help address that shortage. But is that a workable solution? A panel discussion at the Texas Public Policy Foundation, a conservative think tank in Austin, set out last week to address this contentious issue.


Advanced Education? TMA Pushes State for Standards in APRN Clinical Training - 10/18/2018

TMA pushes state for standards in APRN clinical training.


Financial Squeeze: Low Medicaid pay has Dallas clinics turning to midlevels to cut costs - 09/14/2018

Low Medicaid pay forces some Children's Health Pediatric Group clinics in Dallas to close, others turn to midlevels to cut costs, raising quality concerns.


Proposal Would Maintain Unauthorized Scope for Chiropractors - 08/21/2018

The Texas Medical Association strongly opposes proposed new state rules that would continue to allow chiropractors to practice acupuncture and to perform other procedures and services outside the scope of practice for chiropractic.


Medical Associations Challenge Nursing Council - 05/17/2018

The TMA, AMA, and other state medical societies are asking the National Council of State Boards of Nursing to remove or revise parts of an interstate compact that would alter state scope-of-practice laws for advanced practice registered nurses.


Court Sides With TMA in Final Ruling on Chiropractic Scope of Practice Lawsuit - 01/10/2017

We won! In a final judgment by Travis County District Court Judge Rhonda Hurley, TMA prevailed in its long-held declaration that the Texas Board of Chiropractic Examiners' (TBCE's) rules permitting chiropractors to make medical diagnoses and perform other medical procedures exceed the chiropractic scope of practice.


Partial Victory for Medicine in New VA Policy - 12/15/2016

Nurse anesthetists have been excluded from a new Department of Veterans Affairs' (VA's) policy that permits certified nurse midwives, nurse practitioners, and clinical nurse specialists to practice independently of direct physician supervision. Certified registered nurse anesthetist (CRNA) anesthesia practice will continue to require anesthesiologist supervision.


Houston Judge Changes Course, Says DOs Can File Commitment Papers - 10/14/2016

Physicians across Texas are breathing a sigh of relief — at least for now — thanks to Harris County Probate Judge Rory Olsen's decision to allow doctors of osteopathy (DOs) to file Certificates of Medical Examinations needed for mental health commitments. TMA and a host of other physician organizations have been fighting the judge's initial ruling, which prohibited DOs from signing the commitment papers.


TMA: Marriage, Family Therapists Can't Diagnose - 10/11/2016

On Dec. 31, 2015, TMA filed a response brief with the Supreme Court of Texas in regard to Texas State Board of Examiners of Marriage and Family Therapists and Texas Association of Marriage and Family Therapy vs. Texas Medical Association. The brief argues that the Texas State Board of Examiners of Marriage and Family Therapists' rule authorizing marriage and family therapists to diagnose any and all known mental disorders is not within the scope of practice set forth in state law. In the brief, TMA argues the plain meaning of the Licensed Marriage and Family Therapist Act doesn't include diagnosis.


Texas Physicians Ask VA Health Official Tough Questions - 10/11/2016

In a frank and occasionally testy exchange, members of the Texas Delegation to the AMA and a senior health care official at the U.S. Department of Veterans Affairs (VA) presented two very different pictures of VA's proposed scope-of-practice rule for advanced practice registered nurses (APRNs). "Veterans deserve the highest and best care," said Beaumont anesthesiologist Ray Callas, MD, a decorated U.S. Navy veteran of Operation Desert Storm. "In the most complicated cases, anesthesiologists should be in the lead."


TMA Opposes Independent Nursing Practice in VA System - 10/10/2016

TMA joined more than 75 national specialty societies and state medical associations in voicing their strong opposition to a proposed rule that would allow advanced practice registered nurses (APRNs) — nurse anesthetists, nurse practitioners, nurse midwives, and clinical nurse specialists — to practice independently within the Veterans Administration (VA) health system. TMA and the organizations outlined their concerns in a letter to David J. Shulkin, MD, VA under secretary. The letter urges the VA to consider policy alternatives that prioritize team-based care rather than independent nursing practice.


Oppose VA Rule for Independent Nurse Practices - 06/15/2016

As expected, the U.S. Department of Veterans Affairs (VA) published a proposed rule that would allow advanced practice nurses (APRNs) — nurse anesthetists, nurse practitioners, nurse midwives, and clinical nurse specialists — to practice independently within the VA health system. While this doesn't change state scope-of-practice laws for APRNs working outside the VA system, it overrides those laws for care being provided inside the VA.


Victory! Marriage and Family Therapists Can't Diagnose - 06/15/2016

In a scope-of-practice victory for medicine, the Supreme Court of Texas upheld the Third Court of Appeals' decision that the Texas State Board of Examiners of Marriage and Family Therapists' (MFT's) diagnostic assessment rule exceeds the scope of marriage and family therapy.


Act Now to Protect Veterans’ Health Care - 06/14/2016

Our military veterans put their lives on the line to defend this country and our way of life. In return, we owe them much – including the highest quality and best health care. Unfortunately, the U.S. Veterans Administration has proposed action that weaken that standard. The Texas Medical Association is calling on you to join physicians around the country in taking action of our own to protect our veterans’ health care.


Appeals Court Rules Marriage and Family Therapists Can't Diagnose - 05/31/2016

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 Dental Board's Sleep Apnea Treatment Rules - 05/24/2016

TMA is fighting the Texas State Board of Dental Examiners' (TSBDE's) proposed rule changes for dental treatment of obstructive sleep apnea. The association told TSBDE in a letter TMA "strongly opposes any attempt to expand the dentists' scope of practice through the promulgation of rules that TMA contends not only lack support in, but also conflict with, the applicable law passed by the Texas Legislature. Unfortunately, this opposition extends to the rules adopted to be effective on June 11, 2014, and the new March 18, 2016, rule proposal."


TMA Says Chiropractors Can't Perform Acupuncture - 05/21/2016

TMA told the Third District Court of Appeals that the Texas Board of Chiropractic Examiners went too far in allowing chiropractors to perform acupuncture. TMA filed an amicus curiae brief with the court asking for a reversal of the trial court's judgment in Texas Association of Acupuncture and Oriental Medicine v. Texas Board of Chiropractic Examiners and Yvette Yarbrough. Doing so would invalidate the chiropractic board's controversial rule.


TMA Opposes Proposed Overreaching Agency Rules - 05/21/2016

TMA President Stephen L. Brotherton, MD, wrote formal comment letters for the association opposing two state agencies' proposed rules that go too far.


TMA and TOA: PROKERA Not for Optometrists - 05/21/2016

TMA and the Texas Ophthalmological Association (TOA) sent a comment letter to the Texas Optometry Board strongly objecting to a proposed rule concerning procedures authorized for therapeutic optometrists. The proposed rule, published in the March 20 edition of the Texas Register, would allow a therapeutic optometrist to "administer, perform, or prescribe ophthalmic devices, procedures, and appropriate medications administered by topical means, to diagnose or treat visual defects, abnormal conditions, or diseases of the human vision system, including the eye and adnexa."