In accordance with House Bill 3078 (85th Regular Session, 2017), on September 1, 2017 the licensing and regulation of the practice of Podiatry transferred from the Texas State Board of Podiatric Medical Examiners to the Texas Department of Licensing and Regulation.

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News and Updates

Justification for Administrative Rule Adoption

The Texas Commission of Licensing and Regulation adopted amendments to an existing rule at 16 Texas Administrative Code, Chapter 130, Subchapter E, §130.59; and proposed repeal of an existing rule at Subchapter G, §130.74, regarding the Podiatry program. The adopted rules implement House Bill 2174, 86th Legislature, Regular Session (2019), by establishing a procedure for the Department to issue waivers of the requirement for controlled substance prescriptions to be issued electronically, and repeal the rule adopting a penalty matrix.

The adoption justification was published in the March 26, 2021, issue of the Texas Register (46 TexReg 2006). The updated rule chapter will be made available upon its effective date of April 1, 2021.

Rule Review Adoption Justification

At their meeting held March 3, 2021, the Texas Commission of Licensing and Regulation adopted the rule review of 16 Texas Administrative Code (TAC) Chapter 100, General Provisions for Health-Related Programs, effective March 15, 2021.

The rule review adoption was published in the March 26, 2021 issue of the Texas Register (46 TexReg 2050).

TDLR encourages all persons interested in the General Provisions for Health-Related Programs to review the rule review adoption. The adoption justification is available online.

Call for Subject Matter Experts

TDLR is seeking subject matter experts (SMEs) to assist our Enforcement Division with complaint case reviews. SMEs review complaint cases, generally involving standard of care issues, during the investigation stage of the enforcement process.

We currently have a shortage of Behavior Analyst, Podiatrist, and Speech-Language Pathologist SMEs.

If you are interested in becoming a SME, please complete the Expert Witness Application. Once the application is submitted, you will receive a questionnaire to complete and return. Documents are screened and contracts are issued to approved SMEs.

All SMEs receive training on their role in reviewing complaint cases. Tasks may include the following:

  • Reviewing documents and statements collected by investigators.
  • Writing a report stating an opinion as to whether the respondent violated a rule or law in the provision of care to a client.
  • Answering specific questions from the prosecutor about the case.
  • Testifying as a witness for TDLR at hearings.

Our mission is to protect the citizens of Texas and the hard-working members of your profession. We cannot do that without your specialized knowledge of the complexities of your profession. Please consider becoming a SME today.

TDLR Health Monitor – February 2021 Edition

Articles in this February 2021 edition of The Health Monitor include updates on:

  • 87th Session of the Texas Legislature
  • Emergency License Extensions in Response to COVID-19 Delays
  • Program Rule Changes
  • Call for Subject Matter Experts
  • New HHSC-Approved Human Trafficking Training Courses Available

Electronic Prescriptions for Controlled Substances Now Required

Effective January 1, 2021, the Texas Controlled Substances Act and TDLR rule 16 TAC § 130.59 require that prescriptions for controlled substances be issued electronically, except in limited circumstances. TDLR may issue a waiver from this requirement based upon demonstrated necessity. A waiver, if granted, may not exceed one year. A Doctor of Podiatric Medicine may reapply for a subsequent waiver not earlier than the 30th day before the date the waiver expires if the circumstances that necessitated the waiver continue.

To begin the waiver application process, please complete the Electronic Prescribing Waiver Form (PDF).

A list of podiatrists with waivers will be posted on the TDLR Podiatry website when it becomes available.

More information including FAQs, and detailed guidance can be found on the Prescription Information page.

TDLR Waives Part II CSPE Exam Requirements for Class of 2021 Residency License Applicants

In response to the ongoing COVID Pandemic, TDLR has waived the Clinical Skills Patient Encounter (CSPE) exam requirement for 2021 podiatry school graduates who apply for a temporary residency license in Texas. Temporary residency applicants must still take Part I and the written Part II examinations administered by the National Board of Podiatric Medical Examiners. Part III is required for full licensure after residency.

In-Person CPR Course Waiver

In response to COVID-19, podiatry applicants may now take a virtual CPR course in order to qualify for licensure. Applicants must still provide proof of successful course completion.

Notice to prospective licensees, current licensees renewing their licenses, and stakeholders

Applicants can apply for new licenses and renew licenses online. TDLR strongly encourages you to take advantage of the opportunity to apply or renew online. The process is secure and easy to use – and faster than submitting paper-based applications and supporting documents, especially as TDLR deals with significant staffing issues related to COVID-19.

  • Applications submitted online can take 30 days to process once TDLR receives all required documents.
  • Applications submitted by mail may face significant delays, which may take up to 90 days once TDLR receives all required documents.

Access the online licensing system here. If you need to submit a document outside of the online application, please scan the document and send it to TDLR using our online customer service form.

If you need to submit a transcript, please ask your university to send electronic transcripts to TDLR at cs.transcript@tdlr.texas.gov instead of mailing in an original or certified copy of an original transcript. If your need to submit other documents, such as receipt of fingerprint submission, please scan the document and send it electronically to TDLR using our Customer Service form.

Thank you for helping us process your application or renewal more quickly.

Internet Live Activity CME is Allowed for Podiatrists

The Council on Podiatric Medical Education (CPME), accrediting body for podiatric CME providers, has updated the CPME 720 - Standards and Requirements for Approval of Providers of Continuing Education in Podiatric Medicine (PDF), effective July 1, 2020.The CPME standards define Internet Live Activity as “an online continuing educational activity available at a certain time on a certain date and available only in real-time, just as if it were a continuing educational activity held in an auditorium. Once the event has taken place, learners may no longer participate in that activity.” Some examples of an internet live activity are a webinar, videoconference, or teleconference. CPME has also released guidance on COVID-19 for continuing education (PDF) in response to COVID-19 concerns regarding CME. Providers of CME, including all organizations listed in the Podiatry Continuing Medical Education Rules, can organize and present an internet live activity for CME credit. There are no limits on the amount of CME hours that can be obtained through internet live activity. Online courses that are not part of an internet live activity may be acceptable for CME self-study credit. Up to 20 hours of self-study CME may be counted towards the CME requirement.

TDLR is not waiving the requirements or extending the timeframe for obtaining CME at this time. However, the podiatry program rules provide for exceptions in cases of hardship as determined on an individual basis by the executive director. For more information please contact rpm.health.professions@tdlr.texas.gov.

86th Legislative Session Update

Notice to Health Care Practitioners of New Training Requirement

House Bill 2059 requires certain health care practitioners to complete a Health and Human Services Commission (HHSC) approved human trafficking prevention training course to renew their license. The bill also requires HHSC to post a list of approved courses on their website. Licensees are required to comply with the training requirements beginning September 1, 2020. For more information, visit our Human Trafficking Prevention Training for Health Care Practitioners webpage.

APMLE Update

Prometric, the provider of the APMLE for the podiatric medicine program has reopened testing centers in the United States and Canada to essential occupations like podiatry. To learn more, visit the Prometric webpage.

COVID-19: Continuing Education Waived

TDLR continuing education requirements are waived for all individual licenses expiring in March, April, and May 2020. Licensees still need to submit their renewal applications, pay the required fees, and TDLR will check their criminal histories, but they will not need to complete any TDLR-required continuing education this licensing cycle. (§51.405, Occupations Code)

Note: TDLR is not authorized to waive continuing education requirements imposed by a certifying or credentialing entity other than TDLR. If a certifying entity requires continuing education to maintain certification, and certification is required for Texas licensure, then that continuing education must be completed. If the certifying entity waives continuing education or allows it to be completed on a delayed basis due to COVID-19, then you may follow the certifying entity’s policy.

Please check the TDLR COVID-19 webpage for the most up-to-date information.

APMLE Update

Prometric, the provider of the APMLE for the podiatric medicine program has closed testing centers in the United States and Canada. To learn more, visit the Prometric webpage.

Podiatry COVID-19 Information Resource Page

The Federation of Podiatric Medical Boards (FPMB) has created a Resource Page for Podiatry that is updated routinely with nationwide questions/issues.

The Texas Podiatric Medical Association (TPMA) has created a Texas Podiatry/COVID-19 Resource Page that is updated routinely with statewide questions/issues.

Guidance Statement on TDI Rules Related to Senate Bill 1264

The Texas Department of Insurance (TDI) has adopted emergency rules interpreting Senate Bill (SB) 1264’s prohibitions related to “surprise billing” (or “balance billing”). This Guidance Statement is intended to provide clear information concerning SB 1264 to Texas patients, clients, and health care providers under the regulatory authority of the Texas Department of Licensing and Regulation (TDLR).

SB 1264 prohibits surprise billing, with certain exceptions. Health care providers under TDLR’s regulatory authority who seek to exercise the exceptions to SB 1264’s prohibitions against balance billing must comply with all provisions of SB 1264, including as interpreted by TDI rules. See the TDI SB 1264 webpage for additional information. SB 1264 applies to a health care or medical service or supply provided on or after January 1, 2020.

TDLR will be responsible for investigating complaints and taking disciplinary action against TDLR licensees for violations of SB 1264, including as interpreted by TDI rules. Any person who believes that a TDLR-licensed health care provider has committed a balance billing-related violation may file a complaint online with TDLR. Additionally, TDLR and TDI will work together to ensure that any complaints filed with TDI regarding TDLR licensees will be referred to TDLR and investigated.

TDLR will be working on the development of enforcement rules consistent with SB 1264 and TDI’s rules interpreting the statute. As rulemaking moves ahead, we look forward to a transparent process and engaging the public and stakeholders on this important issue.

Important Information for Healthcare Facilities Seeking to Use Out-Of-State Healthcare Providers to Assist with Tropical Storm Imelda Disaster Response

On September 19, 2019 in accordance with Sections 418.016 and 418.171 of the Texas Government Code, Governor Greg Abbott temporarily suspended all necessary statutes and rules to allow a healthcare professional licensed and in good standing in another state to practice in various facilities in Texas to assist with Tropical Storm Imelda disaster response operations.

The suspension allows a healthcare provider who holds a license, certificate, or other permit issued by another state jurisdiction satisfying qualifications for professional, mechanical, or other skills to render aid in this state to meet an emergency or disaster.

This suspension is in effect until terminated by the Office of the Governor or until the Tropical Storm Imelda disaster declaration is lifted or expires.

For the healthcare provider types listed below, a healthcare facility must submit to the TDLR by email each out-of-state provider’s name, license type, state of licensure, and license identification number to: recovery@tdlr.texas.gov

TDLR licenses the following healthcare providers:

  • Athletic Trainers
  • Behavior Analysts
  • Dietitians
  • Dyslexia Therapists and Practitioners
  • Hearing Instrument Fitters and Dispensers
  • Midwives
  • Orthotists and Prosthetists
  • Podiatrists
  • Speech-Language Pathologists and Audiologists

If you have questions or need assistance, please call (800) 803-9202 Monday through Friday from 7 a.m. to 6 p.m. or email recovery@tdlr.texas.gov.

Podiatric Physician Jurisprudence Exam Improvements

  • New! Content outline guidance with score report feedback!
  • Updated reference list of study materials
  • No increased cost – Exam fee is still $60!

Please see the Candidate Information Bulletin (CIB) for details.

Criminal Conviction Guidelines for Podiatry

The Texas Commission of Licensing and Regulation (Commission) adopted changes to TDLR’s Criminal Conviction Guidelines (guidelines) to include the Podiatry program.

The guidelines describe how TDLR determines whether a criminal conviction makes an applicant unsuitable for a license, or whether a conviction warrants revocation or suspension of a license previously granted. The guidelines present the general factors that are considered in all cases and the reasons why particular crimes are considered to relate to each type of license issued by TDLR.

TDLR presented the applicable guidelines to the Podiatric Medical Examiners Advisory Board at its meeting on July 23, 2018 and received the Board’s recommendation of approval. The Commission adopted the amendments to the guidelines at its meeting on September 25, 2018, pursuant to Texas Occupations Code §53.025(a).

Advisory Board Meetings

December 7, 2020

The Podiatric Medical Examiners Advisory Board met December 7, 2020 via videoconference. The agenda and staff reports are available online. The meeting was archived and is available on TDLR's YouTube channel.

Frequently Asked Questions

1. When did the transfer of podiatry to TDLR take place?

All duties and responsibilities for the regulation of podiatry - including licenses and renewals, customer service, and enforcement - transferred to TDLR effective September 1, 2017.

2. Do I need to get a new license issued by TDLR?
No. The license you have now--issued by the Texas State Board of Podiatric Medical Examiners --remains valid until its expiration date. When you renew on or after September 1, 2017, you will receive a TDLR-issued license.

3. Will I have to renew on a different schedule?

No. You will renew on the same schedule.

4. Have the rules changed?

No. The existing podiatry rules automatically transferred to TDLR on September 1, 2017.

5. Are people at TDLR available to talk to me?

Yes. You will get a “live” person when you call TDLR. Our Customer Service division employs over 45 people who are waiting to help you. TDLR answers nearly 500,000 calls and emails per year. Customer service representatives are trained on the details of the Podiatry program. TDLR also has the resources and expertise of more than 40 licensing specialists and seven medical and health program experts.

6. How do I file a complaint against a podiatrist?

Please submit the Podiatry Complaint Form by mail or fax.

7. How do I stay informed about changes impacting me?

You have several options to stay connected:

  • Email updates: Sign up for email updates
    When you subscribe to TDLR’s Podiatry email updates, we will provide you with everything you need to know about changes in rules, the law, fees, exam requirements, meetings and more. It’s easy and you will stay in the loop.
  • Meetings: Meeting information is posted on the TDLR Meetings page. All Advisory Board and Commission meetings are available to watch online live or later at your convenience at the TDLR YouTube page.
  • Social Media: TDLR has a Facebook page and a Twitter account dedicated to TDLR Health Professions.

8. Why was the regulation of podiatry transferred to TDLR?

House Bill 3078, 85th Regular Session, adopted the recommendations of the Sunset Advisory Commission that podiatry regulation be moved to TDLR “to provide institutional stability and administrative savings, improve licensing and enforcement outcomes, and better protect the people of Texas.” House Bill 3078 was signed into law by Gov. Greg Abbott on May 29, 2017.

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