Texas Medical Board Delegation Agreement
Use the online system to register the prescribing authority and submit the declaration of intent to practice/monitor, as requested by PAs and physicians. Paper-based monitoring and delegation forms are no longer accepted (unless necessary). Changes to the monitoring/delegation or termination authorization must be updated within 30 days in our system. Please note that updates introduced more than 30 days after a change do not affect your liability for improper recording of monitoring or delegation information in connection with ongoing or future investigations. Senate Bill 406, which came into force on 11.1.2013, requires that there be a pre-regulatory authority agreement between a physician and a PA or NPA that has been delegated to a prescriptive authority. Changes to the online registration system for Senate Law 406 (including new mandatory authority agreements) will be available in January 2014. There is no limit to the number of caregivers who can have an AP. You can register a new caregiver through the online monitoring and prescriptive registration system. Please note that this is a 2-step process and the attending physician must complete the registration. Yes, the physician in charge of the SA must delegate the prescribed authority for an AP to sign prescriptions for controlled substances, also known as scheduled drugs, as well as dangerous drugs. However, APs are usually limited to Schedules III – V (Schedule IIs are allowed in very limited circumstances). All prescription drugs that are not controlled substances fall under the category of „dangerous drugs“.
Medical assistants subject to medical prescription must have their own DEA numbers to prescribe controlled substances. In addition, medical assistants must have kept with the DEA the name of their currently delegated physician, who authorizes the prescriptive authority. For more information on the details of this waiver and other information relating to the COVID-19 response, please visit our website at: www.tmb.state.tx.us/page/coronavirus Within 30 days of the change or addition. This can be done through the online monitoring and prescriptive system of the Registration delegation. Please note that as of April 5, 2020, Governor Greg Abbott has temporarily waived certain rules to support Texas` response to COVID-19. For the duration of the Governor`s disaster declaration, physicians and their delegates can establish and maintain oversight relationships with increased flexibility to respond more effectively to the COVID-19 emergency. . .