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The following words and terms, when used in this chapter shall
have the following meanings unless the context indicates otherwise.
(1)Distant site provider--A physician or a physician
assistant or advanced practice nurse who is supervised by and has
delegated authority from a licensed Texas physician, who uses telemedicine
to provide health care services to a patient in Texas. Distant site
providers must be licensed in Texas.
(2)Established medical site--A location where a patient
will present to seek medical care where there is a patient site presenter
and sufficient technology and medical equipment to allow for an adequate
physical evaluation, as appropriate for the patient's presenting complaint.
It requires establishing a defined physician-patient relationship
, as defined by §190.8(1)(L) of this title (relating to Violation
Guidelines). A patient's private home is not considered an established
medical site, except as provided in §174.6(d) of this title
(relating to Telemedicine Medical Services Provided at an Established
Medical Site). An established medical site includes all Mental Health
and Mental Retardation Centers (MHMRs), and Community Centers, as
defined by Health and Safety Code, Chapter 534, where the patient
is a resident and the medical services provided are limited to mental
health services.
(3) - (10)(No change.)
(11)Group or Institutional Setting--These
include residential treatment facilities, halfway houses, jails, juvenile
detention centers, prisons, nursing homes, group homes, rehabilitation
centers, and assisted living facilities.
The agency certifies that legal counsel has reviewed
the proposal and found it to be within the state agency's legal authority
to adopt.
Filed with the Office
of the Secretary of State on February
23, 2015
TRD-201500617 Mari Robinson, J.D.
Executive Director
Texas Medical Board
Earliest possible date of adoption: April 5, 2015
For further information, please call: (512) 305-7016
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