Texas Register, Volume 37, Number 10, Pages 1561-1862, March 9, 2012 Page: 1,638

                                
must present proof satisfactory to the board that the applicant has prac-
ticed medicine full-time in Texas, in exclusively either a medically un-
derserved area or health professional shortage area as designated by the
U.S. Department of Health and Human Services, for at least three years,
or has signed an agreement to practice medicine full-time in Texas, in
exclusively either a medically underserved area or health professional
shortage area as designated by the U.S. Department of Health and Hu-
man Services, for at least three years. Full-time practice shall mean at
least 20 hours per week for 40 weeks duration during a given year.
(2) Upon completion of the requirements of paragraph (1)
of this subsection, a physician must provide documentation submitted
that is acceptable to the Board to demonstrate compliance with para-
graph (1) of this subsection.
(3) A physician licensed under this subsection, must notify
any individual or entity with whom the physician contracts to practice
medicine, that the physician is fulfilling a service requirement to prac-
tice full time in Texas, in exclusively either a medically underserved
area or health professional shortage area as designated by the U.S. De-
partment of Health and Human Services, for at least three years.
(4) This subsection shall not be interpreted to apply to:
(A) applicants for full licensure or temporary or limited
licenses as described under Chapter 172 of this title (relating to Tem-
porary or Limited Licenses) who are applying to practice medicine at
an institution that maintains a graduate medical education program in
this state;
(B) applicants for postgraduate training permits as de-
scribed under Chapter 171 of this title (relating to Postgraduate Train-
ing Permits); or
(C) physicians who practiced medicine, prior to
September 1, 2012, for at least one year under a postgraduate training
permit, temporary license, or limited license.
(e) [(E)] Alternative License Procedure for Military Spouse.
(1) An applicant who is the spouse of a member of the
armed forces of the United States assigned to a military unit headquar-
tered in Texas may be eligible for alternative demonstrations of compe-
tency for certain licensure requirements. Unless specifically allowed in
this subsection, an applicant must meet the requirements for licensure
as specified in this chapter.
(2) To be eligible, an applicant must be the spouse of a per-
son serving on active duty as a member of the armed forces of the
United States and meet one of the following requirements:
(A) holds an active unrestricted medical license issued
by another state that has licensing requirements that are substantially
equivalent to the requirements for a Texas medical license; or
(B) within the five years preceding the application date
held a medical license in this state that expired and was cancelled for
nonpayment while the applicant lived in another state for at least six
months.
(3) Applications for licensure from applicants qualifying
under this subsection shall be expedited by the board's licensure divi-
sion as if they meet the provisions of  163.13 of this title (relating to
Expedited Licensure Process).
(4) Alternative Demonstrations of Competency Allowed.
Applicants qualifying under this subsection:
(A) are not required to comply with  163.7 of this title
(relating to Ten Year Rule); and

(B) in demonstrating compliance with 163.11(a) of
this title, must only provide sufficient documentation to the board that
the applicant has, on a full-time basis, actively diagnosed or treated
persons or has been on the active teaching faculty of an acceptable
approved medical school, within one of the last three years preceding
receipt of an Application for licensure.
163.5. Licensure Documentation.
(a) (No change.)
(b) Documentation required of all applicants for licensure.
(1) - (11) (No change.)
(12) Citizenship or Permanent Residence. Applicants who
are U.S. citizens or permanent residents of the U.S. must document
their status. Applicants who are not U.S. citizens or permanent resi-
dents of the U.S. must comply with 163.2(d) of this title (relating to
Full Texas Medical License).
(A) Acceptable citizenship documentation:
(i) Copy of a U.S. passport;
(ii) Copy of Certification of Naturalization;
(iii) Copy of Certificate of U.S. Citizenship; or
(iv) Both a copy of a citizenship document and a
copy of an identification document.
(I) Citizenship documents:
(-a-) Birth certificate;
(-b-) Report or Certification of Birth Abroad
of a U.S. Citizen;
(-c-) U.S. Citizen I.D. Card;
(-d-) Adoption papers; or
(-e-) Military record if it shows birth place.
(II) Identification documents:
(-a-) Current driver's license or state identity

card;
tification card; or

(-b-) School identification card;
(-c-) Federal, state or local government iden-

(-d-) U.S. military identification card.
(B) Acceptable permanent residence documentation. A
copy of a current Permanent Resident Card is acceptable.
(c) - (e) (No change.)
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal author-
ity to adopt.
Filed with the Office of the Secretary of State on February 23,
2012.
TRD-201201094
Mari Robinson, J.D.
Executive Director
Texas Medical Board
Earliest possible date of adoption: April 8, 2012
For further information, please call: (512) 305-7016
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CHAPTER 166. PHYSICIAN REGISTRATION
22 TAC 166.2

37 TexReg 1638  March 9, 2012  Texas Register