Texas Senate approves controversial Senate Bill 268 on medical board regulations

The Texas Senate convened on June 1, 2025, to discuss Senate Bill 268, which addresses the regulation of healthcare professionals by their respective specialty boards. The bill aims to clarify the enforcement authority of these boards, particularly in cases where practitioners may operate outside their designated scopes of practice.

Senator Campbell raised concerns about the bill, arguing that it could allow specialty boards to inadequately monitor practitioners who cross into other medical fields. He emphasized that while the Texas Medical Board (TMB) currently has limited enforcement capabilities, the proposed changes could further diminish its authority, potentially compromising patient safety. Campbell pointed out that if a healthcare professional, such as a chiropractor, were to practice medicine without a license, the TMB would lack the necessary power to intervene effectively.

Senator Perry, the bill's author, defended the legislation, asserting that it is designed to empower specialty boards to manage their own enforcement actions. He argued that the TMB's role should be limited to overseeing licensed practitioners and that the bill does not remove the TMB's ability to issue cease and desist orders against unlicensed individuals practicing medicine illegally. Perry maintained that the enforcement should rest with the boards that are most familiar with their specialties.

The discussion highlighted a significant divide among senators regarding the balance of power between the TMB and specialty boards. Some senators expressed concern that the bill could lead to a lack of oversight, particularly in cases where practitioners might exploit their positions. Others supported the bill as a necessary step to streamline regulatory processes and enhance the accountability of specialty boards.

Ultimately, the Senate voted to adopt the conference committee report on Senate Bill 268, with 23 votes in favor and 8 against. The outcome reflects ongoing debates about healthcare regulation in Texas, particularly as the state faces a projected shortage of healthcare professionals in the coming years. As the legislative session progresses, the implications of this bill will likely continue to be a focal point in discussions about healthcare policy and patient safety in Texas.