Texas Register
TITLE 22 EXAMINING BOARDS
PART 9TEXAS MEDICAL BOARD
CHAPTER 174TELEMEDICINE
RULE §174.6Telemedicine Medical Services Provided at an Established Medical Site
ISSUE 10/08/2010
ACTION Final/Adopted
Preamble Texas Admin Code Rule
(a)Telemedicine medical services provided at an established medical site may be used for all patient visits, including initial evaluations to establish a proper physician-patient relationship between a distant site provider and a patient.

(b)For new conditions, a patient site presenter must be reasonably available onsite at the established medical site to assist with the provision of care. It is at the discretion of the distant site physician if a patient site presenter is necessary for follow-up evaluation or treatment of a previously diagnosed condition.

  (1)A distant site provider may delegate tasks and activities to a patient site presenter during a patient encounter.

  (2)A distant site provider delegating tasks to a patient site presenter shall ensure that the patient site presenter to whom delegation is made is properly supervised.

(c)If the only services provided are related to mental health, a patient site presenter is not required except in cases where the patient may be a danger to themselves or others.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on September 27, 2010

TRD-201005572

Mari Robinson, J.D.

Executive Director

Texas Medical Board

Effective date: October 17, 2010

Proposal publication date: April 30, 2010

For further information, please call: (512) 861-5390

 

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