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TITLE 22EXAMINING BOARDS
PART 9TEXAS MEDICAL BOARD
CHAPTER 187PROCEDURAL RULES
SUBCHAPTER BINFORMAL BOARD PROCEEDINGS
RULE §187.13Informal Board Proceedings Relating to Licensure Eligibility

(a) An applicant who has either requested to appear before the licensure committee of the board or has elected to be referred to the licensure committee of the board due to a determination of ineligibility by the Executive Director in accordance with §163.4 of this title (relating to Procedural Rules for Licensure Applicants), in lieu of withdrawing the application for licensure, may be subject to a Disciplinary Licensure Investigation.

(b) "Disciplinary Licensure Investigation" means an applicant's licensure file that has been referred to the licensure committee for review.

(c) Determination by a Committee of the Board. Upon review of Disciplinary Licensure Investigation, a committee of the board may determine that the applicant is ineligible for licensure or is eligible for licensure with or without conditions or restrictions, eligible for licensure under a remedial plan, or defer its decision pending further information.

  (1) An applicant subject to a Disciplinary Licensure Investigation who withdraws their request to appear before a committee of the board shall have such withdrawal submitted to the full board for ratification.

  (2) An applicant, who fails to appear before the committee of the board, shall be deemed a withdrawal, and such withdrawal shall be submitted to the full board for ratification.

  (3) Licensure with Terms and Conditions.

    (A) If the committee determines that the applicant should be granted a license under certain terms and conditions, based on the applicant's commission of a prohibited act or failure to demonstrate compliance with provisions under the Act or board rules, the committee, as the board's representatives, shall propose an agreed order or a remedial plan. The terms and conditions of the proposed agreed order or remedial plan shall be submitted to the board for approval.

    (B) Upon an affirmative majority vote of members present, the board may approve the agreed order or remedial plan as proposed by the committee or with modifications, and direct staff to present the agreed order or remedial plan to the applicant.

      (i) If the applicant agrees to the terms of the proposed agreed order or remedial plan, the applicant may be licensed upon the signing of the order or remedial plan by the applicant and the president of the board or the president's designee, and passage of the medical jurisprudence examination, if applicable.

      (ii) If the applicant does not agree to the terms of the proposed agreed order or remedial plan within 20 days of receipt of the offer, the applicant shall be deemed ineligible for licensure by the board.

    (C) If the board does not approve the proposed agreed order or remedial plan and by majority vote determines the applicant ineligible for licensure, the applicant shall be so informed. The board must specify their rationale for the rejection of the proposed agreed order or remedial plan that shall be referenced in the minutes of the board.

  (4) Ineligibility Determination.

    (A) If a committee of the board or the full board determines that an applicant is ineligible for licensure, including deemed ineligibility due to the applicant's failure to agree to the terms of the board's proposed agreed order or remedial plan, the applicant shall be notified of the committee's determination and given the option to:

      (i) appeal the determination of ineligibility to the State Office of Administrative Hearings (SOAH); or

      (ii) accept the determination of ineligibility.

    (B) An applicant has 20 days from the date the applicant receives notice of the board's determination of ineligibility to submit a written response to the board electing one of the two options listed in subparagraph (A)(i) - (ii) of this paragraph. Applicant's failure to respond to the board's notice of a determination of ineligibility within 20 days shall be deemed acceptance by applicant of the board's ineligibility determination.

    (C) If the applicant timely notifies the board of applicant's intent to appeal the board's ineligibility determination to SOAH, a contested case before SOAH will be initiated only in accordance with §187.24 of this title (relating to Pleadings). Applicant shall comply with all other provisions relating to formal proceedings as set out in Subchapter C of this chapter (relating to Formal Board Proceedings at SOAH).

    (D) An application for licensure shall not expire while the application is the subject of a contested case, however, applicants shall be required to update any information that is a part of their applications.

    (E) If the applicant does not timely take action as required in subparagraphs (A) and (B) of this paragraph or, prior to the initiation of a contested case at SOAH, withdraws their intent to appeal the board's ineligibility determination to SOAH, the committee's determination of ineligibility shall be deemed acceptance by applicant of the board's ineligibility determination.


Source Note: The provisions of this §187.13 adopted to be effective January 6, 2002, 26 TexReg 10867; amended to be effective April 27, 2003, 28 TexReg 3326; amended to be effective November 30, 2003, 28 TexReg 10494; amended to be effective November 7, 2004, 29 TexReg 10113; amended to be effective January 20, 2009, 34 TexReg 340; amended to be effective December 25, 2011, 36 TexReg 8551; amended to be effective May 13, 2012, 37 TexReg 3409; amended to be effective August 3, 2014, 39 TexReg 5749; amended to be effective July 9, 2015, 40 TexReg 4354

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