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2025 Legislative Wrap-Up: Scope Creep Defense Preserves Physician-Led Care, Patient Safety - 08/29/2025

TMA's unprecedented presence at the Capitol this session made a statement to lawmakers that patients deserve the best care possible and resulted in the stoppage of dozens of scope-of-practice bills filed yet again.

Medicine Whelms Nurse Scope Expansion Bill - 08/27/2025

Physicians from across the state made the trek to the Capitol to testify that House Bill 3974 would dismantle Texas’ longstanding physician-led care model and with it, patient safety. TMA and the legislature remain committed to quality solutions to the state’s access-to-care challenges.

Pharmacists’ Scope Would Expand Under Federal Bills - 08/21/2025

Under a pair of House and Senate bills, Medicare would allow pharmacists to test for and then treat four respiratory illnesses. Nearly 100 state medical associations and national specialty societies joined in opposing the potential legislation.

Flood-Impacted Texas Physicians Granted New MIPS EUC Exception - 08/14/2025

In response to severe storms and flooding affecting Texas in July, physicians in impacted counties will receive automatic adjustments to their Merit-Based Incentive Payment System scores. Some physicians will still have the option to report data and receive a corresponding payment adjustment.

SAFER Guides Help Safeguard Practice Operations During EHR Downtime - 08/14/2025

In case of natural disasters, cyberattacks, and more, the guides include checklists, action-based worksheets, and recommendations to help physicians reduce patient risks related to electronic health records.

Chiropractic Scope Expansion Proposed Under Federal Legislation - 05/21/2025

Federal legislation proposes changing the definition of “physician” to include chiropractors. The American Medical Association, TMA, and dozens of other medical organizations call on Congress to nix it, spotlighting patient safety risk and possible increased Medicare costs.

‘If That’s Not Expanding Scope, I Don’t Know What Is’: Bill Grants Scope Shortcut to Rural APRNs - 05/06/2025

With patient safety on the line, TMA physicians showed up in droves in opposition to Senate Bill 3055, which would give certain nurse practitioners independent practice in rural areas. Instead, physicians turned lawmakers’ attention to a new and immediate solution to Texas’ rural access shortages advancing through the legislature: Senate Bill 2695.

TMA Mobilizes Against Nurse Scope Expansion Bill - 04/11/2025

House Bill 3794 is among dozens of bills filed this session that chip away at Texas’ scope of practice laws. While for the most part TMA has stopped such bills in their tracks, by contrast, HB 3794 would open what TMA President G. Ray Callas, MD, strongly warned is a “floodgate” for independent practice by advanced practice registered nurses. TMA urges physicians to act to stop the bill.

Risk Management - 03/20/2025

Practice e-Tips on Risk Management

Practice E-Tips on Legal Topics - 03/17/2025

TMA Practice E-Tips on Legal Topics

Landmark Antitrust Settlement in BCBS Case Granted Preliminary Approval - 01/09/2025

Physicians can now file a claim in a $2.8 billion settlement fund given preliminary approval by a U.S. District Court involving Blue Cross Blue Shield. The final verdict is expected in July.

TMA’s Top Legislative Priorities: Guarding Against Scope of Practice Expansion - 01/06/2025

TMA is working to grow the physician workforce and preserve physician-led health care in Texas.

AMA Board Chair Calls on Texas to Help Secure Medicare Fix, Restore Physician Autonomy - 12/04/2024

Attendees of Texas Medical Association’s second Business of Medicine Conference heard a host of economic hurdles to physicians, but underscoring them all is the decades-long trend of decreasing Medicare physician payment, according to the American Medical Association’s Board of Trustees Chair Michael Suk, MD.

AMA President-Elect Acclaims TMA Advocacy for Scope, Prior Auth Wins - 12/04/2024

Texas physicians’ advocacy accomplishments both in the state and alongside the American Medical Association earned praise from AMA’s president-elect at the Texas Medical Association’s Leadership Summit on Jan. 27.

Senate Committee Tackles Scope of Practice in Access-to-Care Hearing - 11/18/2024

In a hearing packed with representatives from medicine, nursing, pharmacy, behavioral health, licensing boards, and academia, the Senate Health and Human Services Committee tackled Texas’ health care workforce shortages with the Texas Medical Association delivering its message loud and clear: Expanding scope of practice is not the answer to helping patients in rural and underserved areas.

TMA Considers Next Steps in Split Victory Over Payment Calculations in Surprise-Billing Arbitrations - 11/15/2024

After winning half the battle when the federal government dropped its appeal of two major components of the Texas Medical Association’s lawsuit early on, TMA is considering next steps after an appeals court upheld a portion of federal rules governing qualifying payment amount calculations in surprise-billing disputes that medicine says conflict with federal law and unfairly favor health plans.

High Court Decision Brings Favorable Wind for Physician Experts - 11/04/2024

The Texas Supreme Court has sided with the Texas Windstorm Insurance Association – and by extension, with medicine – in a case that impacts physicians who testify as expert witnesses in their own defense.

With FTC Rule in Limbo, Texas Legislature to Reconsider Noncompetes - 09/20/2024

Amid a pair of conflicting court rulings – one of which blocked a Federal Trade Commission (FTC) final rule banning most noncompete clauses – the Texas Senate is pondering related legislation for the upcoming session that could impact a significant number of physicians statewide.

Court Sides With Medical Examiner in Suit Over Autopsy - 08/09/2024

With the Texas Medical Association’s help, a Harris County medical examiner has won the latest battle in a lawsuit over an autopsy he performed following a woman’s 2007 shooting death.

TMA Wins Appeal Upholding Its Challenge to Skewed Federal Surprise Billing Rule - 08/05/2024

A federal appeals court handed a victory to medicine affirming the district court’s decision to strike down federal provisions that run counter to Congress' intent for implementing a key piece of the No Surprises Act: to operate an arbitration process that does not skew dispute resolutions and unfairly advantage health plans. Read more.

High Court Decision in Nondisclosure Case A Win For Medicine - 07/31/2024

The Texas Supreme Court sided with the Texas Medical Association in a nondisclosure case that TMA warned would have significant, troubling implications had it gone the wrong way.

More Work Needed to Protect Texas Physicians - 06/28/2024

Following the Texas Medical Board’s newly adopted rules on abortion ban exceptions, the Texas Medical Association continues its advocacy for physicians performing abortions to treat a medical emergency under the state’s overlapping abortion laws.

TMB Proposed Rules on Abortion Ban Exceptions Invite TMA Opposition - 05/14/2024

The Texas Medical Board (TMB) recently released proposed rules intended to clarify exceptions to the state’s overlapping abortion laws. But TMA argues the proposal could exacerbate physician confusion, administrative burden on practices, and patient care delays. Read more.

Seeking Balance: TMA Opposes Feds' Implementation of the No Surprises Act - 04/09/2024

The Texas Medical Association supported the patient protections in the federal No Surprises Act but also knew from the beginning that the law's payment arbitration provisions were flawed and could give insurers an advantage.

RICO Settlements: TMA's Leadership Against Payer Abuses Resulted in Relief, Reform - 04/09/2024

Back in 2001, the Texas Medical Association and the other plaintiffs alleged the nation’s major health plans had conspired to delay and reduce payments to clinicians and hospitals; the resulting lawsuits, brought under the federal Racketeer Influenced and Corrupt Organizations Act (RICO), represented a watershed moment in TMA history.