News & Press: From the TNP Office

TMB Proposes Harmful Radiology Rule

Monday, February 4, 2019   (4 Comments)
Posted by: Erin Cusack
Share |

Update on Radiology Rule (as of 2.11.19)

On January 25, the Texas Medical Board (TMB) proposed a new radiology rule, §193.21, that would have dramatically impacted the practice of APRNs in Texas across all settings – from hospitals in urban areas to the most remote rural clinics. Last week, we made an urgent call to action to our Members and youd heard that call. Thanks to hundreds of emails from you and other nursing organizations, the Texas Medical Board has decided to postpone adoption of this rule until the Spring and will be putting together a stakeholder group to help develop and propose new radiology rules. TNP, as well as members of the APRN Alliance, have already been invited to participate in the stakeholder group.

What did proposed rule §193.21 say, and how would it impact you? On 1/25, TMB proposed the following rule language: “the following acts have been determined to be the practice of medicine under the authority of the Act, §157.001(b)(1), and cannot be delegated to a midlevel provider, certified radiological technologist (MRT and LMRT), or non-certified radiological technologist (NCT):

(1) the reading and interpretation of the radiological studies; and
(2) rendering a diagnosis based on the radiological studies.

Nurse Practitioners regularly use radiological images for everything from ultrasounds and chest x-rays to broken bones, and their ability to do so is critical to providing timely patient care.

Even though the TMB has decided to postpone rule adoption until the Spring, we are still encouraging TNP Members to submit comment letters to the Board on how the proposed rule could impact your patients, your practice, and your facility. Comments can be emailed to or mailed to Ms. Rita Chapin to P.O. Box 2018, Austin, Texas, 78768-2018.


Rose Koneski says...
Posted Monday, February 11, 2019
This rule is a disappointment to me as a professional and would be to the patients I provide care to of the solution, it's adding to the problem. If this passes my practice will be severely compromised, harm will come due to Increasing risk due to complicated process issues adding to delay of care. I serve the poor and underfunded patients which will add further to the problem
Posted Wednesday, February 6, 2019
This rule is not part of the solution for access to care, it's part of the problem. If this passes my clinic will be severely compromised, harm will come to patients due to the delay of care. The problem is in the occupation code for Texas. It states that only healthcare professionals that have gone to medical school can practice medicine and the TMB is defining "practicing medicine" as reading and interpreting radiological studies.
Amy Dunn says...
Posted Tuesday, February 5, 2019
We absolutely have to fight for autonomous practice, not getting things taken away from us. Utilizing radiology services are essential to my practice!
Jonathan Morales says...
Posted Monday, February 4, 2019
This cannot pass.0

Contact Us

Texas Nurse Practitioners
4425 S. Mopac, Building III
Suite 405 Austin, TX 78735
P: 512.291.6224
F: 512.291.6225

Our Mission

The voice of Texas Nurse Practitioners dedicated to improving patient access to quality health care.