And just like that the 10 year rule is gone – Texas Medical Board makes a big change!

At its October 2017 meeting the Texas Medical Board (TMB) struck the decades old 10 year rule stating that the rule impeded doctors from coming to Texas.  Just for full disclosure G&M Consulting was opposed to this measure.  What G&M proposed was a change to the rule making those physician who had been active members of hospital staffs exempt from the rule but requiring physicians who had not been under any formal peer review still have to comply with the rule.  Only time will tell if the board’s decision was correct but in the  meantime WELCOME to Texas all of you physicians who have not wished to re-up your boards or take the SPEX exam.  Any questions – give us a call 888-400-1580.

Since the early 90’s physicians coming into Texas had to have been examined by some type of test in the 10 years prior to their application for licensure.  The Texas Medical Board had instituted this measure when the state bean to see a very large increase in applicants flooding in from out of state.  The board wanted to be sure that some how the medical knowledge of these incoming applicants was up to date.  So, applicants had a choice between a national exam such as USMLE, FLEX, COMLEX or NBOME, or board certification or recertification.  To some this rule has been a blockade of sorts to licensure.

During the 2017 Texas legislative session, Senator Buckingham, proposed that physicians not have to maintain board certification – interesting!  As the bill began to move opposition to the bill reared its head by hospitals who as part of their credentialing did not wish to be dictated to by the legislature when it came to who would qualify for their staff memberships.  But what about all the physicians who are not involved in formal peer review? So, the bill changed, but still some decided that the TMB needed to change its rules and so it did.

Again, only time will tell if there is impact at the initial licensure stage.

Help with Hurricane Harvey Victims

Well Hurricane Harvey has been a beast and will continue to wreck havoc on Texas for some time. There are quite a few emergency shelters open and those shelters will be looking for volunteer physicians.  If you have time and can give of your services visit the Texas Medical Board website at  On the home page you will find several categories where physicians and physician extenders can obtain information on emergency permitting. TMB staff are working round the clock to comply with the governor’s order to get physicians and other medical personnel in quickly.  Texas needs you and NOW!

Hurricane Harvey Response – Visiting Physician Temporary Permit

The Texas Medical Board is issuing expedited temporary permits for out-of-state physicians assisting with the Hurricane Harvey emergency response in Texas. The temporary permit is good for 30 days and there is no charge. All physicians applying must be sponsored by a licensed Texas physician, which may include a facility based physician such as a department director where the visiting physician will be practicing. Applications will be reviewed and immediately expedited upon verification and status of the out-of-state physician’s license.

Please fill out the form with sponsoring physician information and include “HARVEY” in the procedure section of the form.

Email completed forms to:



Well they did – but only for two years – Texas Legislative Update!!

So, the Texas Legislature during their only special session this summer decided to approve the TMB, Texas Medical Board, continuing operation for two years.  Yes, only two years!  That means that in two years the TMB staff will once again be before the legislature proving their worth – and in the meantime they will be once again spending ridiculous amounts of time gathering more data and explaining to legislators and their staffs why there needs to be a TMB!  I of course am not privy to all the whys but this action once again proves to me that the Texas legislature has not clear direction on what it’s priorities need to be.  The TMB is probably one of few agencies that not only funds itself but plenty more – the agency via license and registration fees generates millions of dollars and keeps maybe one third.  If I was a physician in this state I think I would pull a California and demand that my associations – Texas Medical Association and the Texas Osteopathic Association get deeply behind some legislation to pour more money into the TMB so that additional staff resources could be obtained.  And maybe, just maybe before any more small agencies are added to the already overloaded TMB staff TMA and TOMA might, just might oppose such an action and get the TMB back to what they are supposed to be about – the licensing and regulation of physicians!

Will they or won’t they???

So during the 2017 regular legislative the Texas Legislature seemed to forget that they needed to vote on the Texas Medical Board staying in existence!  So, Gov Abbott called them all back to Austin for a special session – and he told them – approve the med board – but alas here we are with only 7 days left of the special session and still not legislation to keep the medical board going.  So, what happens if the legislature allows the TMB to fade away??  Well, many years ago Gov Ann Richards had had it with the Dental Board and away they went – some part to the Attorney General and some part to the Dept of Health – it was a mess and a lesson should have been learned but apparently not.  A couple of great articles on the subject matter are the Texas Medical Association’s Doomsday article and The Dallas Morning News’ article on Gov Ann Richards and the Texas Dental Board  I doubt that the special session will end with the medical board hanging – lots of lessons can be learned from Gov Richards example!

SB 674 – Expedited licensing process for certain psychiatrists – Public Hearing on 3/1/17 8:00 a.m.

Click here for the video link to the hearing.


COMMITTEE:    Health & Human Services

TIME & DATE:  8:00 AM, Wednesday, March 01, 2017

PLACE:        E1.016 (Hearing Room)
CHAIR:        Senator Charles Schwertner

SB 674        Schwertner | et al.
Relating to an expedited licensing process for certain physicians specializing in psychiatry; authorizing a fee.

Get your applications in now – things will likely be slowing down at TMB soon

According to the Austin American-Statesman today, Governor Greg Abbott ordered a freeze on state hiring until the end of August, 2017. Under the terms of the freeze, no agency should post a new position or fill a vacated one, and savings should not be used for other purposes.

What does this mean to you if you’re a prospective applicant (physician, PA, acupuncturist or surgical assistant)?

That things will be slowing down at TMB because they have several vacancies in the Licensing Department.  And things will only get slower once the onslaught of physician in training applicants hits the Licensing Department (usually begins in March to April and lasts through mid-July) and all of the other applicants who complete training programs in June begin to file their applications for full licensure.  Yikes!

So get your application filed as soon as you can and work to complete the documentation requirements as quickly as you can.

Mari Robinson exits Texas Medical Board

A bit of old news,  Executive Director Mari Robinson left the Texas Medical Board submitting her resignation in September 2016.  In announcing her resignation Ms. Robinson attempted to put rumors to rest, “I want to reassure you that there is nothing negative behind my decision to leave nor is there anything bad coming down the pike,” Robinson said in a statement released Tuesday to staff and board members. “While there maybe be gossip about this, there is absolutely no truth to anything like that. Honestly, I am just ready to try something new and I am excited about this opportunity.”

Initially I was shocked to learn of Mari’s resignation as were many physicians who were lighting up the Garanflo and Meyer phones.  Also, the Texas Medical Board was headed into Sunset hearings before the 2017 Texas Legislative session and the Teladoc lawsuit had still not been resolved – BUT, the more I thought about it the more it made sense.  There is probably not anyone in the state of Texas that knows more about how Telemedicine should look in Texas and heading up UTMB Gavleston’s Telehealth program is a good fit.

Jaime and I wish Mari the best and know that she will work hard to make UTMB’s program the best in the state.

Oh the phones!!!!!!!!!!!!!!! Texas Medical Board – Ugh!

I think today was a record for me in trying to reach the Texas Medical Board and specifically CAR. I began dialing using two phones at 8 a.m. – after about 250+ redials I got through to the message that all lines are busy – this happened around 9:15 a.m. and still now at 9:55 a.m. I continue to be on hold. I have some answers on how to fix this issue – but alas I just connected with staff at 9:58 a.m. – UGH!

We are not miracle workers…

Recently we received a phone call from another licensure consulting company asking for our help in getting an applicant through licensure – I wanted to laugh, but didn’t and gave the young lady a few hints on when to call, how to send things, etc. but I ended our conversation by telling her that we, G&M are not miracle workers. Now we are pretty darn good at getting things through CAR at the Texas Medical Board but even we can’t overcome 3000 pieces of mail, emails that are over 45 days old, mail that even when it gets to an applicant’s file in CAR may sit for 2-3 weeks. I don’t think anyone could have imagined that adding the four license types that Senator Nelson and the Texas legislature did in 2015 would have this kind of effect – but it has truly crippled physician licensure. The only remedy that I see is a complete reorganization.

Oh the numbers are HUGE! TMB Physician application numbers out of sight!

Have you tried to call the medical board and speak to someone about your license application or maybe you just have a question about how to get a license – WELL, they have been one super busy staff.  Fiscal year 2015 saw 5.377 physicians apply – a new record!  So, having said that if you are planning to apply anytime in the future you might want to contact us to help with your process – not only do we know the process most of it we are responsible for – and that can be good or bad, depending on your point of view.  Graph provided by the Texas Medical Association.graph of physician licensure applications