Tex. Occ. Code Section 204.202
Scope of Practice


(a)

The practice of a physician assistant includes providing medical services delegated by a supervising physician that are within the education, training, and experience of the physician assistant.

(b)

Medical services provided by a physician assistant may include:

(1)

obtaining patient histories and performing physical examinations;

(2)

ordering or performing diagnostic and therapeutic procedures;

(3)

formulating a working diagnosis;

(4)

developing and implementing a treatment plan;

(5)

monitoring the effectiveness of therapeutic interventions;

(6)

assisting at surgery;

(7)

offering counseling and education to meet patient needs;

(8)

requesting, receiving, and signing for the receipt of pharmaceutical sample prescription medications and distributing the samples to patients in a specific practice setting in which the physician assistant is authorized to prescribe pharmaceutical medications and sign prescription drug orders as provided by Section 157.0512 (Prescriptive Authority Agreement) or 157.054 (Prescribing at Facility-based Practice Sites);

(9)

prescribing or ordering a drug or device as provided by Subchapter B, Chapter 157 (Authority of Physician to Delegate Certain Medical Acts); and

(10)

making appropriate referrals.

(c)

The activities listed by Subsection (b) may be performed in any place authorized by a supervising physician, including a clinic, hospital, ambulatory surgical center, patient home, nursing home, or other institutional setting.

(d)

A physician assistant’s signature attesting to the provision of a service the physician assistant is legally authorized to provide satisfies any documentation requirement for that service established by a state agency.

(e)

A physician assistant is the agent of the physician assistant’s supervising physician for any medical services that are delegated by that physician and that:

(1)

are within the physician assistant’s scope of practice; and

(2)

are delineated by protocols, practice guidelines, or practice directives established by the supervising physician.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999. Amended by Acts 2001, 77th Leg., ch. 112, Sec. 3, eff. May 11, 2001; Acts 2001, 77th Leg., ch. 178, Sec. 1, eff. Sept. 1, 2001; Acts 2001, 77th Leg., ch. 1420, Sec. 14.054(a), eff. Sept. 1, 2001.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 418 (S.B. 406), Sec. 13, eff. November 1, 2013.

Source: Section 204.202 — Scope of Practice, https://statutes.­capitol.­texas.­gov/Docs/OC/htm/OC.­204.­htm#204.­202 (accessed Jun. 5, 2024).

204.001
Short Title
204.002
Definitions
204.003
Applicability
204.051
Texas Physician Assistant Board
204.052
Appointment of Board
204.053
Membership Eligibility and Restrictions
204.054
Terms
204.055
Officers
204.056
Grounds for Removal
204.057
Per Diem
204.058
Open Meetings
204.059
Training
204.101
General Powers and Duties of Board
204.102
Powers and Duties of Medical Board Relating to Physician Assistants
204.103
Fees
204.104
Rural Physician Assistant Loan Reimbursement Program
204.105
Rules on Consequences of Criminal Conviction
204.106
Division of Responsibilities
204.107
Public Participation
204.108
Records of Complaints
204.109
Use of Technology
204.110
Negotiated Rulemaking and Alternative Dispute Resolution Policy
204.151
License Required
204.152
Issuance of License
204.153
Eligibility Requirements
204.154
Exemptions from Licensing Requirement for Certain Physician Assistants
204.155
Temporary License
204.156
License Renewal
204.157
Inactive Status
204.158
Refusal for Violation of Board Order
204.201
Notice of Intent to Practice
204.202
Scope of Practice
204.203
Identification Requirements
204.204
Supervision Requirements
204.205
Requirements for Supervising Physician
204.206
Establishment of Certain Functions and Standards
204.207
Assumption of Professional Liability
204.208
Duty to Report
204.209
Jointly Owned Entities with Physicians
204.210
Protection for Refusal to Engage in Certain Conduct
204.251
Complaint Information and Status
204.252
License Holder Access to Complaint Information
204.253
Health Care Entity Request for Information
204.254
Confidentiality of Investigative Information
204.255
Permitted Disclosure of Investigative Information
204.301
Disciplinary Authority of Board
204.302
Conduct Related to Fraud or Misrepresentation
204.303
Conduct Related to Violation of Law
204.304
Conduct Indicating Lack of Fitness
204.308
Subpoena
204.309
Protection of Patient Identity
204.310
Required Suspension of License of Incarcerated Physician Assistant
204.311
Temporary Suspension
204.312
Informal Proceedings
204.313
Physician Assistant Board Representation in Informal Proceedings
204.314
Roles and Responsibilities of Participants in Informal Proceedings
204.315
Surrender of License
204.316
Refund
204.317
Modification of Findings or Rulings by Administrative Law Judge
204.318
Expert Immunity
204.351
Administrative Penalty
204.352
Criminal Penalty
204.353
Cease and Desist Order
204.0585
Executive Session
204.1015
Guidelines for Early Involvement in Rulemaking Process
204.1025
Duties Regarding Prescriptive Authority Agreements
204.1525
Criminal History Record Information Requirement for License Issuance
204.1561
Criminal History Record Information Requirement for Renewal
204.1562
Continuing Medical Education Requirements
204.1565
Informal Continuing Medical Education
204.2045
Volunteer Care and Services Performed During Disaster
204.2511
Conduct of Investigation
204.3011
Delegation of Certain Complaint Dispositions
204.3045
Physical or Mental Examination
204.3145
Limit on Access to Investigation Files

Accessed:
Jun. 5, 2024

§ 204.202’s source at texas​.gov