Tex. Codes » Occupations Code · TITLE 3. HEALTH PROFESSIONS · SUBTITLE B. PHYSICIANS · CHAPTER 151. GENERAL PROVISIONS
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Tex. Occ. Code § 151.052 (2026)

Exemptions

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Sec. 151.052. EXEMPTIONS. (a) This subtitle does not apply to:

(1) a dentist, licensed under the laws of this state, engaged strictly in the practice of dentistry;

(2) a licensed optometrist or therapeutic optometrist engaged strictly in the practice of optometry or therapeutic optometry as defined by law;

(3) a licensed chiropractor engaged strictly in the practice of chiropractic as defined by law;

(4) a registered nurse or licensed vocational nurse engaged strictly in the practice of nursing in accordance with the applicable licensing acts and other laws of this state;

(5) a licensed podiatrist engaged strictly in the practice of podiatry as defined by law;

(6) a licensed or certified psychologist engaged strictly in the practice of psychology as defined by law;

(7) a licensed physical therapist engaged strictly in the practice of physical therapy in accordance with the law relating to physical therapy practice;

(8) a commissioned or contract surgeon in the United States uniformed services or Public Health Service in the performance of that person's duties if the person is not engaged in private practice;

(9) a person who furnishes medical assistance in an emergency or disaster situation if no charge is made for the medical assistance;

(10) a student in training in a board-approved medical school while performing, under the supervision of a licensed practitioner, the duties assigned in the course of training;

(11) a legally qualified physician of another state who is in this state for consultation with a physician licensed in this state but who does not:

(A) maintain an office in this state; or

(B) appoint a place in this state for seeing, examining, or treating a patient; or

(12) any other activity that the board designates as exempt from the application of this subtitle.

(b) Notwithstanding Subsection (a)(10), a medical resident, intern, or fellow is required to register and is subject to the other applicable provisions of this subtitle.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Notes of Decisions
Cited in 18 cases (1 in the last 5 years), 2003–2021 · leading case: Simonson v. Keppard, 225 S.W.3d 868 (Tex. App.—Dallas 2007).
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Simonson v. Keppard, 225 S.W.3d 868 (Tex. App.—Dallas 2007). · cites it 2× “But the Act does "not apply" to nurses "engaged strictly in the practice of nursing" in accordance with their license or other laws, TEX. OCC.CODE ANN. § 151.052(a)(4) (Vernon 2004), [30] so arguably a physician may not delegate a "medical act" to an ordinary nurse (absent Texas…”
In re Living Centers of Texas, Inc., 175 S.W.3d 253 (Tex. 2005). “Tex. Occ.Code § 151.052(a). Applying both statutes shows that any “records or proceedings” of a medical committee (including a medical peer review committee) are confidential, but the privilege of the medical peer review committee also includes “any communication made to” the…”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Oct. 14, 2015). · cites it 7× “28 Tex. Occ. Code § 151.052 ................”
Texas Bd. of Chiropractic Examiners Patrick Fortner v. Texas Med. Ass'n, 616 S.W.3d 558 (Tex. 2021). · cites it 3× “4 TEX. OCC. CODE § 151.052(a). 5 Id. § 151.”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Nov. 18, 2015). · cites it 4× “29 TEX. OCC. CODE § 151.052 ................”
Ex Parte Carlos Morales-Ryan, No. 04-07-00860-CR (Tex. App.—San Antonio June 11, 2008). · cites it 3× “Tex. Occ. Code Ann. § 151.052 (Vernon 2004).”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Aug. 10, 2015). · cites it 3× “6, 48, 51 TEX. OCC. CODE § 151.052 ................”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Nov. 19, 2015). · cites it 2× “1 Tex. Occ. Code § 151.052 ................”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Nov. 20, 2015). · cites it 2× “1 Tex. Occ. Code § 151.052 ................”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Dec. 1, 2015). · cites it 2× “OCC.CODE § 201.002(b)(1) ................”
Dr. Amber Brooks, D.C. v. Texas Med. Bd. &, No. 03-14-00239-CV (Tex. App.—Austin June 18, 2015). “See Tex. Occ. Code §§ 151.052(3), 201.002(b).”
In re Highland Pines Nursing Home, Ltd, No. 12-03-00050-CV (Tex. App.—Tyler Nov. 13, 2003). “Finally, Subtitle B does not apply to "a registered nurse or licensed vocational nurse engaged strictly in the practice of nursing in accordance with the applicable licensing acts and other laws of this state" Tex. Occ. Code Ann. § 151.052 (a)(4) (Vernon Pamph.”
Show all 18 citing cases →
Tex. Occ. Code § 151.052(3): 3 cases
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Oct. 14, 2015). “28 Tex. Occ. Code § 151.052 ................”
Dr. Amber Brooks, D.C. v. Texas Med. Bd. &, No. 03-14-00239-CV (Tex. App.—Austin June 18, 2015). “See Tex. Occ. Code §§ 151.052(3), 201.002(b).”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Nov. 18, 2015). “29 TEX. OCC. CODE § 151.052 ................”
Tex. Occ. Code § 151.052(a): 3 cases
In re Living Centers of Texas, Inc., 175 S.W.3d 253 (Tex. 2005). “Tex. Occ.Code § 151.052(a). Applying both statutes shows that any “records or proceedings” of a medical committee (including a medical peer review committee) are confidential, but the privilege of the medical peer review committee also includes “any communication made to” the…”
Texas Bd. of Chiropractic Examiners Patrick Fortner v. Texas Med. Ass'n, 616 S.W.3d 558 (Tex. 2021). “4 TEX. OCC. CODE § 151.052(a). 5 Id. § 151.”
In re Benevis, LLC, Dentistry of Brownsville, P.C., & Kool Smiles, P.C., No. 15-0547 (Tex. July 24, 2015).
Tex. Occ. Code § 151.052(a)(2): 1 case
Texas Bd. of Chiropractic Examiners Patrick Fortner v. Texas Med. Ass'n, 616 S.W.3d 558 (Tex. 2021). “4 TEX. OCC. CODE § 151.052(a). 5 Id. § 151.”
Tex. Occ. Code § 151.052(a)(3): 6 cases
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Dec. 1, 2015). “OCC.CODE § 201.002(b)(1) ................”
Texas Bd. of Chiropractic Examiners Patrick Fortner v. Texas Med. Ass'n, 616 S.W.3d 558 (Tex. 2021). “4 TEX. OCC. CODE § 151.052(a). 5 Id. § 151.”
Texas State Bd. of Veterinary Med. Examiners v. Ellen Jefferson, No. 03-14-00774-CV (Tex. App.—Austin Aug. 28, 2015).
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Oct. 14, 2015). “28 Tex. Occ. Code § 151.052 ................”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, No. 03-15-00262-CV (Tex. App.—Austin Nov. 19, 2015). “1 Tex. Occ. Code § 151.052 ................”
Tex. Occ. Code § 151.052(a)(4): 1 case
Simonson v. Keppard, 225 S.W.3d 868 (Tex. App.—Dallas 2007). “But the Act does "not apply" to nurses "engaged strictly in the practice of nursing" in accordance with their license or other laws, TEX. OCC.CODE ANN. § 151.052(a)(4) (Vernon 2004), [30] so arguably a physician may not delegate a "medical act" to an ordinary nurse (absent Texas…”
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