Athletic Trainers Occupations Code

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Occupations Code, Chapter 451
Administered by the Texas Department of Licensing and Regulation
(Effective September 1, 2017)

Table of Contents

Subchapter A. General Provisions

Sec. 451.001. Definitions.

In this chapter:

  • (1) "Athletic injury" means an injury sustained by a person as a result of the person's participation in an organized sport or sport-related exercise or activity, including interscholastic, intercollegiate, intramural, semiprofessional, and professional sports activities.
  • (2) "Athletic trainer" means a person who practices athletic training, is licensed by the department, and may use the initials "LAT," "LATC," and "AT" to designate the person as an athletic trainer. The terms "sports trainer" and "licensed athletic trainer" are equivalent to "athletic trainer."
  • (3) "Athletic training" means the form of health care that includes the practice of preventing, recognizing, assessing, managing, treating, disposing of, and reconditioning athletic injuries under the direction of a physician licensed in this state or another qualified, licensed health professional who is authorized to refer for health care services within the scope of the person's license.
  • (4) "Board" means the Advisory Board of Athletic Trainers.
  • (5) "Commission" means the Texas Commission of Licensing and Regulation.
  • (6) "Department" means the Texas Department of Licensing and Regulation.
  • (7) "Executive director" means the executive director of the department.

Sec. 451.002. Interpretation; Practice of Medicine.

This chapter does not authorize the practice of medicine by a person not licensed by the Texas Medical Board.

Sec. 451.003. Applicability.

This chapter does not apply to:

  • (1) a physician licensed by the Texas Medical Board;
  • (2) a dentist, licensed under the laws of this state, engaged in the practice of dentistry;
  • (3) a licensed optometrist or therapeutic optometrist engaged in the practice of optometry or therapeutic optometry as defined by statute;
  • (4) an occupational therapist engaged in the practice of occupational therapy;
  • (5) a nurse engaged in the practice of nursing;
  • (6) a licensed podiatrist engaged in the practice of podiatry as defined by statute;
  • (7) a physical therapist engaged in the practice of physical therapy;
  • (8) a registered massage therapist engaged in the practice of massage therapy;
  • (9) a commissioned or contract physician, physical therapist, or physical therapist assistant in the United States Army, Navy, Air Force, or Public Health Service; or
  • (10) an athletic trainer who does not live in this state, who is licensed, registered, or certified by an authority recognized by the department, and who provides athletic training in this state for a period determined by the department.

Subchapter B. Advisory Board Of Athletic Trainers

Sec. 451.051. Board; Membership.

  • (b) The board consists of five members appointed by the presiding officer of the commission with the approval of the commission as follows:
    • (1) three members who are athletic trainers; and
    • (2) two members who represent the public.
  • (d) Appointments to the board shall be made without regard to the race, color, disability, sex, religion, age, or national origin of the appointee.

Sec. 451.0521. Duties of Board.

The board shall provide advice and recommendations to the department on technical matters relevant to the administration of this chapter.

Sec. 451.053. Terms; Vacancy.

  • (a) Board members serve staggered six-year terms with the terms of one or two members expiring on January 31 of each odd-numbered year.
  • (b) If a vacancy occurs on the board, the presiding officer of the commission, with the commission's approval, shall appoint a replacement who meets the qualifications for the vacant position to serve for the unexpired portion of the term.

Sec. 451.055. Presiding Officer.

The presiding officer of the commission shall designate a member of the board to serve as the presiding officer of the board for a one-year term. The presiding officer of the board may vote on any matter before the board.

Sec. 451.056. Meetings.

The board shall meet at the call of the presiding officer of the commission or the executive director.


Sec. 451.101. General Powers and Duties.

  • (a) The executive director shall administer and enforce this chapter.
  • (a-1) The department shall:
    • (1) adopt an official seal;
    • (2) prescribe the application form for a license applicant;
    • (3) prescribe a suitable form for a license certificate;
    • (4) prepare and conduct an examination for license applicants;
    • (5) maintain a complete record of all licensed athletic trainers; and
    • (6) annually prepare a roster showing the names and addresses of all licensed athletic trainers.

Sec. 451.110. Confidentiality of Complaint and Disciplinary Information.

  • (h) All information and materials subpoenaed or compiled by the department in connection with a complaint and investigation are confidential and not subject to disclosure under Chapter 552, Government Code, and not subject to disclosure, discovery, subpoena, or other means of legal compulsion for their release to anyone other than the department or its employees or agents involved in discipline of the holder of a license, except that this information may be disclosed to:
    • (1) persons involved with the department in a disciplinary action against the holder of a license;
    • (2) athletic trainer licensing or disciplinary boards in other jurisdictions;
    • (3) peer assistance programs approved by the commission under Chapter 467, Health and Safety Code;
    • (4) law enforcement agencies; and
    • (5) persons engaged in bona fide research, if all individual-identifying information has been deleted.
  • (i) The filing of formal charges by the department against a holder of a license, the nature of those charges, disciplinary proceedings of the department, commission, or executive director, and final disciplinary actions, including warnings and reprimands, by the department, commission, or executive director are not confidential and are subject to disclosure in accordance with Chapter 552, Government Code.

Subchapter D. License Requirements

Sec. 451.151. License Required.

A person may not hold the person out as an athletic trainer or perform any activity of an athletic trainer unless the person holds a license under this chapter.

Sec. 451.152. License Application.

An applicant for an athletic trainer license must submit to the department:

  • (1) an application in the manner and on a form prescribed by the executive director; and
  • (2) the required examination fee.

Sec. 451.153. Applicant Qualifications.

  • (a) An applicant for an athletic trainer license must:
    • (1) have met the athletic training curriculum requirements of a college or university approved by the commission and give proof of graduation;
    • (2) hold a degree or certificate in physical therapy and have completed:
      • (A) a basic athletic training course from an accredited college or university; and
      • (B) an apprenticeship described by Subsection (b); or
    • (3) have a degree in corrective therapy with at least a minor in physical education or health that includes a basic athletic training course and meet the apprenticeship requirement or any other requirement established by the commission.
      • (b) The apprenticeship required to be completed by an applicant consists of 720 hours completed in two years under the direct supervision of a licensed athletic trainer acceptable to the department. Actual working hours include a minimum of 20 hours a week during each fall semester.

Sec. 451.154. Out-of-State License Applicants.

  • (a) An out-of-state applicant must:
    • (1) satisfy the requirements under Section 451.153; and
    • (2) submit proof of active engagement as an athletic trainer in this state as described by Subsection (b).
  • (b) A person is actively engaged as an athletic trainer if the person:
    • (1) is employed on a salary basis by an educational institution for the institution's school year or by a professional or other bona fide athletic organization for the athletic organization's season; and
    • (2) performs the duties of athletic trainer as the major responsibility of that employment.

Sec. 451.156. Requirements for License Issuance.

An applicant for an athletic trainer license is entitled to receive the license if the applicant:

  • (1) satisfies the requirements of Section 451.153 or 451.154;
  • (2) passes the examination required by the department; and
  • (3) pays the required license fee.

Sec. 451.157. Temporary License.

  • (a) The department may issue a temporary license to an applicant if the applicant satisfies:
    • (1) the requirements of Section 451.153 or 451.154; and
    • (2) any other requirement established by the commission.
  • (b) The commission by rule shall prescribe the time during which a temporary license is valid.

Subchapter E. License Renewal

Sec. 451.201. License Expiration; Renewal.

  • (a) A license issued under Section 451.156 expires on the second anniversary of the date of issuance and may be renewed biennially.