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TITLE 22EXAMINING BOARDS
PART 9TEXAS MEDICAL BOARD
CHAPTER 194MEDICAL RADIOLOGIC TECHNOLOGY
SUBCHAPTER ACERTIFICATE HOLDERS, NON-CERTIFIED TECHNICIANS, AND OTHER AUTHORIZED INDIVIDUALS OR ENTITIES
RULE §194.6Procedural Rules and Minimum Eligibility Requirements for Applicants for a Certificate or Placement on the Board's Non-Certified Technician General Registry

(a) Except as otherwise provided in this chapter, an individual must be certified or hold a temporary certificate as a medical radiologic technologist or limited radiologic technologist, or be placed by the board on the general registry for non-certified technicians before the individual may perform a radiologic procedure.

(b) Types of Certificates. The board shall issue general certificates, limited certificates, temporary certificates (general or limited), or provisional certificates.

(c) General Requirements.

  (1) Except as otherwise required in this section, an applicant for temporary or regular certification as a MRT or LMRT, or registration as a NCT must:

    (A) graduate from high school or its equivalent as determined by the Texas Education Agency;

    (B) attain at least 18 years of age;

    (C) submit an application on a form prescribed by the board;

    (D) pay the required application fee, as set forth under Chapter 175 of this title (relating to Fees and Penalties);

    (E) provide a complete and legible set of fingerprints, on a form prescribed by the board, to the board or to the Department of Public Safety for the purpose of obtaining criminal history record information from the Department of Public Safety and the Federal Bureau of Investigation;

    (F) certify that the applicant is mentally and physically able to perform radiologic procedures;

    (G) not have a license, certification, or registration in this state or from any other licensing authority or certifying professional organization that is currently revoked or suspended;

    (H) not have proceedings that have been instituted against the applicant for the restriction, cancellation, suspension, or revocation of certificate, license, or authority to perform radiologic procedures in the state, a Canadian province, or the uniformed service of the United States in which it was issued;

    (I) not have pending any prosecution against applicant in any state, federal, or international court for any offense that under the laws of this state is a felony, or an offense that is a misdemeanor of moral turpitude;

    (J) be of good professional character as defined under §194.2 of this chapter (relating to Definitions);

    (K) submit to the board any other information the board considers necessary to evaluate the applicant's qualifications; and

    (L) meet any other requirement established by rules adopted by the board.

  (2) The board retains the discretion to consider the nature of any final disciplinary action, other than suspension or revocation, when determining whether to issue the certificate or other authorization.

(d) Additional Requirements for Specific Certificate Types or Placement on the Board's Non-Certified Technician General Registry.

  (1) General medical radiologic technologist certificate. In addition to meeting requirements under subsection (c) of this section, to qualify for a general certificate, an applicant must meet at least one of the following requirements:

    (A) possession of current national certification as a registered technologist, radiographer, radiation therapist, or nuclear medicine technologist by ARRT;

    (B) successful completion of the ARRT's examination in radiography, radiation therapy, or nuclear medicine technology;

    (C) possession of current national certification as a nuclear medicine technologist by the NMTCB;

    (D) successful completion of the NMTCB's examination in nuclear medicine technology; or

    (E) current licensure, certification, or registration as a medical radiologic technologist in another state, the District of Columbia, or a territory of the United States whose requirements are more stringent than or are substantially equivalent to the requirements for Texas general certification.

  (2) Limited medical radiologic technologist certificate. In addition to meeting requirements under subsection (c) of this section, to qualify for a limited certificate, an applicant must meet at least one of the following requirements:

    (A) the successful completion of a limited course of study as set out in §194.12 of this chapter (relating to Standards for the Approval of Certificate Program Curricula and Instructors) and the successful completion of the appropriate limited examination in accordance with subsection (e) of this section;

    (B) current licensure, certification, or registration as an LMRT in another state, the District of Columbia, or a territory of the United States of America whose requirements are more stringent than or substantially equivalent to the requirements for Texas limited certification; or

    (C) current general certification as an MRT issued by the board. The MRT must surrender the general certificate and submit a written request for a limited certificate indicating the limited categories requested.

  (3) Temporary general medical radiologic technologist. In addition to meeting requirements under subsection (c) of this section, to qualify for a temporary general certificate, an applicant must meet at least one of the following requirements:

    (A) successful completion of a course of study in radiography, radiation therapy, or nuclear medicine technology which is accredited by an agency which is recognized by:

      (i) the Council for Higher Education Accreditation, including but not limited to: the Joint Committee on Education in Nuclear Medicine Technology (JRCNMT); or

      (ii) the United States Secretary of Education, including, but not limited to: the Joint Review Committee on Education in Radiologic Technology (JRCERT), Accrediting Bureau of Health Education Schools, or the Southern Association of Colleges and Schools, Commission on Colleges;

    (B) be approved by the ARRT as examination eligible;

    (C) be approved by the NMTCB as examination eligible;

    (D) be currently licensed or otherwise registered as an MRT in another state, the District of Columbia, or a territory of the United States whose requirements are more stringent than or substantially equivalent to the Texas requirements for certification at the time of application to the board; or

    (E) have completed education, training and clinical experience which is substantially equivalent to that of an accredited educational program in radiography as listed in subparagraph (A) of this paragraph.

  (4) Temporary limited medical radiologic technologist. In addition to meeting requirements under subsection (c) of this section, to qualify for a temporary limited certificate, an applicant must meet at least one of the following requirements:

    (A) successful completion of a limited certificate program in the categories of skull, chest, spine, abdomen or extremities, which is approved in accordance with §194.12 of this chapter;

    (B) current enrollment in a general certificate program approved in accordance with §194.12 of this chapter and the issuance of a certificate of completion by the program signifying completion of classroom instruction, clinical instruction, evaluations and competency testing in all areas included in the limited curriculum; or

    (C) be currently licensed or otherwise registered as an LMRT in another state, the District of Columbia, or a territory of the United States whose requirements are more stringent than or substantially equivalent to the Texas requirements for certification at the time of application to the board.

  (5) Provisional medical radiologic technologist.

    (A) To qualify for a provisional general certificate, an applicant must:

      (i) be currently licensed or certified in another jurisdiction;

      (ii) have been licensed or certified in good standing as a MRT for at least two years in another jurisdiction, including a foreign country, that has licensing or certification requirements substantially equivalent to the requirements of the Act;

      (iii) pass a national or other examination recognized by the board relating to the practice of radiologic technology;

      (iv) provide a complete and legible set of fingerprints, on a form prescribed by the board, to the board or to the Department of Public Safety for the purpose of obtaining criminal history record information from the Department of Public Safety and the Federal Bureau of Investigation; and

      (v) be sponsored by a medical radiologic technologist certified by the board under the Act with whom the provisional certificate holder will practice during the time the person holds a provisional certificate.

    (B) A provisional certificate is valid until the date the board approves or denies the provisional certificate holder's application for a certificate.

    (C) The board must approve or deny a provisional certificate holder's application for a certificate not later than the 180th day after the date the provisional certificate is issued. The board may extend the 180-day period if the results of an examination have not been received by the board before the end of that period.

  (6) Placement on the Non-Certified Technician General Registry.

    (A) Registration Required. In accordance with §601.202 of the Act, a person who intentionally uses radiologic technology, other than a certificate holder, person performing procedures under the supervision of a dentist, physician assistant, or registered nurse, must register with the board prior to performing any procedures.

    (B) In addition to meeting the requirements under subsection (c) of this section, to qualify for placement on the board's NCT General Registry, an applicant must successfully complete a training program approved by the board in accordance with §194.13 of this chapter (relating to Mandatory Training Programs for Non-Certified Technicians) or §194.15 of this chapter (relating to Bone Densitometry Training).

(e) Examinations Required for Certification.

  (1) Jurisprudence examination. An applicant for a certificate must pass the jurisprudence examination ("JP exam"), which shall be conducted on the certification requirements and other laws, rules, or regulations applicable to the medical radiologic technologist profession in this state. The JP exam shall be developed and administered as follows:

    (A) The staff of the Medical Board shall prepare questions for the JP exam and provide a facility by which applicants can take the examination.

    (B) An examinee shall not be permitted to bring books, compends, notes, journals, calculators or other documents or devices into the examination room, nor be allowed to communicate by word or sign with another examinee while the examination is in progress without permission of the presiding examiner, nor be allowed to leave the examination room except when so permitted by the presiding examiner.

    (C) Irregularities during an examination such as giving or obtaining unauthorized information or aid as evidenced by observation or subsequent statistical analysis of answer sheets, shall be sufficient cause to terminate an applicant's participation in an examination, invalidate the applicant's examination results, or take other appropriate action.

    (D) Applicants must pass the JP exam with a score of 75 or better within three attempts.

    (E) An applicant who is unable to pass the JP exam within three attempts must appear before a committee of the board to address the applicant's inability to pass the examination and to re-evaluate the applicant's eligibility for certification. It is at the discretion of the committee to allow an applicant additional attempts to take the JP exam.

    (F) A person who has passed the JP exam shall not be required to retake the exam for re-licensure, except as a specific requirement of the board as part of an agreed order.

  (2) Examinations accepted for certification.

    (A) Examination eligibility.

      (i) Persons who qualify under subsection (d)(1) of this section are not required to be reexamined for state certification.

      (ii) Holders of a temporary general certificate or temporary limited certificate may take the appropriate examination provided the person complies with the requirements of the Act and this chapter.

    (B) General certificate. The following examinations are accepted for a general certificate application:

      (i) NMTCB examination in nuclear medicine technology; or

      (ii) The appropriate ARRT examination in radiography, nuclear medicine technology, or radiation therapy. Determination of the appropriate examination shall be made on the basis of the type of educational program completed by the applicant for a general certificate.

    (C) Limited certificate.

      (i) The following examinations are accepted for a limited certificate application: Successful completion of the appropriate examination, including the core knowledge component, as follows:

        (I) skull--the ARRT examination for the limited scope of practice in radiography (skull);

        (II) chest--the ARRT examination for the limited scope of practice in radiography (chest);

        (III) spine--the ARRT examination for the limited scope of practice in radiography (spine);

Cont'd...

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