HB 1869

relating to an alternate board certification to signify
accreditation within a given specialty in this state and medical
care provided at certain health care facilities by physicians with
an alternate board certification.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Chapter 222, Health and Safety Code, is amended
by adding Subchapter D to read as follows:
SUBCHAPTER D.  MEDICAL CARE PROVIDED BY PHYSICIANS WITH ALTERNATE
BOARD CERTIFICATIONS AT CERTAIN HEALTH CARE FACILITIES
Sec. 222.101.  DEFINITIONS.  In this chapter:
(1)  "Commission" means the Health and Human Services
(2)  "Executive commissioner" means the executive
commissioner of the commission.
(3)  "Health care facility" means a health care facility
Sec. 222.102.  MEDICAL CARE PROVIDED BY PHYSICIANS WITH
ALTERNATE BOARD CERTIFICATION TO PRACTICE MEDICINE; FACILITY
LICENSE REVOCATION.  (a)  A health care facility may not refuse to
accept for board certification purposes a physician's alternate
board certification to practice medicine issued under Section
155.012, Occupations Code, in employing or granting practice or
admitting privileges to the physician for providing medical care to
patients at the facility or otherwise discriminate against the
physician in making an employment or privilege decision based on
the physician's alternate board certification.
(b)  The commission shall revoke the license of a
health care facility that violates this section.
(c)  The executive commissioner shall adopt rules to
SECTION 2.  Subchapter A, Chapter 155, Occupations Code, is
amended by adding Section 155.012 to read as follows:
Sec. 155.012.  ALTERNATE BOARD CERTIFICATION FOR CERTAIN
APPLICANTS.  (a)  The board shall allow alternate board
certifications to practice medicine in this state that:
(1)  requires an applicant to satisfy each applicable
eligibility requirement for a board certification under this
chapter except as provided by Subdivision (2); and
(2)  does not require an applicant to complete courses
or training on or to satisfy any other requirement, including
(a)  providing a medical treatment or procedure
that is unlawful in the State of Texas.
(b)  The board shall adopt rules to implement this section.
SECTION 3.  As soon as practicable after the effective date
(1)  the executive commissioner of the Health and Human
Services Commission shall adopt the rules necessary to implement
Subchapter D, Chapter 222, Health and Safety Code, as added by this
(2)  the Texas Medical Board shall adopt rules to
implement the alternate board certification to signify
accreditation within a given specialty in this state as required by
Section 155.012, Occupations Code, as added by this Act.
SECTION 4.  This Act takes effect September 1, 2025.