89R14593 GP-F By: Campos H.B. No. 4168 A BILL TO BE ENTITLED AN ACT relating to requirements for the renewal of a physician's registration permit. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 156.001, Occupations Code, is amended by adding Subsection (d-1) to read as follows: (d-1) If the license holder supervises or delegates medical acts to any non-physician health care provider, the license holder shall state on the registration renewal application that the license holder has provided proper supervision and has properly delegated medical acts: (1) generally, for any non-physician health care provider; and (2) specifically, for any advanced practice registered nurse or physician assistant with whom the license holder has entered into a prescriptive authority agreement under Section 157.0512. SECTION 2. Not later than December 1, 2025, the Texas Medical Board by rule shall prescribe the method by which a physician who renews the physician's registration permit may make and electronically sign the statement required by Section 156.001(d-1), Occupations Code, as added by this Act. SECTION 3. Section 156.001(d-1), Occupations Code, as added by this Act, applies only to an application for renewal of a registration permit submitted on or after January 1, 2026. SECTION 4. This Act takes effect September 1, 2025.