Contact Us Patients, their families, or attorneys may request medical records for any number of reasons. Can a Texas notary charge a fee for traveling or other expenses related to the notarization request? In the Texas workers compensation system, reimbursement for most medical services and treatments not provided through a workers compensation health care network is determined by the Division of Workers Compensation (DWC) fee guidelines. Dig Deeper Patient Data Access Elusive for Nearly Half of Healthcare Consumers Sometimes patients send a written request for records to the doctors next of kin or the executor of the doctors estate. The request should clearly be signed by the patient. The completed form may also be faxed to 956-289-2964. For more information on amending a birth record based to adoption, see theUpdating a Birth Record Based to Adoptionpage. A physician or, when permitted, an eligible professional who orders, certifies, refers, or prescribes Part A . You may also fax the completed authorization to 469-698-1172. ), The subpoena must be accompanied by documentation that confirms satisfaction of notice to the patient requirements. Generally, seven years from the last treatment date. What are reasonable fees for medical records? In addition to medical education, a doctor of osteopathy also studies the alignment of the spine and osteopathic manipulation. The annual update is based on the Medicare Economic Index (MEI), which is a weighted average of price changes for goods and services used to deliver physician services. endstream endobj 22 0 obj <>stream %PDF-1.6 % k. The Medical Practice Act, Texas Occupations Code Annotated, Title 3, Subtitle B as amended, section 162.001. l. The Medical Practice Act, Texas Occupations Code Annotated, Title 3, Subtitle B as amended, section 162.001. m. The Medical Practice Act, Texas Occupations Code Annotated, Title 3, Subtitle B as amended, 151.055. Fees for hospital records differ from those records provided by physicians. Emerging Disease Resources & Visitor Guidelines, Find out how to get copies of your child's immunization records, Postage fees may apply to requests that are mailed, Execution of an affidavit or certification of a document, not to exceed the charge authorized by Civil Practice and Remedies Code, 22.004. You have a deadline of 15 days to provide a written, signed, and dated statement detailing the reason . Civ. Texas: Medical Record Search Fee: $48.77 (Includes Copied Pages Supplied 1 - 10) Copied Pages Supplied 11 - 60: $1.64 per page. 3. Texas 1974); b. F.W.B. Fee for non-paper records not to exceed $2.00 per page Fee for paper records may not exceed $1.00 per page A fee of up to $1.00 may be charged for each year of records requested. Social Security: No charge for a request to support a claim under the social security act. Health Information Management Department tions. hb`````0pP3=B0t FD1QH1?X[~ In 2009, the Texas Legislature amended the statute again to change the definition of health care information and to add a category of fees for records provided on digital or other electronic media and delivered electronically. TMB Bulletins If you are aware of an additional or different medical records copying costs statute which should be posted for this state, please send a link to the relevant statute to Tom . The MEI for 2022 reflects an increase of 2.1 percent. Copied Pages Supplied 21 100: $1.00 per page, Copied Pages Supplied 101+: $0.50 per page, Search/Storage Fee: $15.00 (Only charged if records are retrieved from off-site location), Storage Fee: $24.40 (Additional fee if records are retrieved off-site), Copied Pages Supplied: 1+: $0.50 per page, Copied Pages Supplied 1 100: $1.00 per page, Copied Pages Supplied 101+: $0.25 per page, Copied Pages Supplied 16+: $0.25 per page, Copied Pages Supplied 26 100: $0.50 per page, Copied Pages Supplied 100+: $0.25 per page, Copied Pages Supplied 26+: $0.75 per page, Electronic Records Medical Record Search Fee: $30.00 (Includes Copied Pages Supplied 1-25), Electronic Records Copied Pages Supplied 26+: $0.25 per page, Copied Pages Supplied 1 10: $1.34 per page, Copied Pages Supplied 11 50: $0.69 per page, Copied Pages Supplied 51+: $0.27 per page, X-rays: Medical Record Search Fee plus $2.27 per page, Copied Pages Supplied 11-50: $0.50 per page, Copied Pages Supplied 1 20: $1.58 per page, Copied Pages Supplied 21 60: $1.17 per page, Copied Pages Supplied 61+: $0.40 per page, Copied Pages Supplied 10 50: $0.75 per page, Copied Pages Supplied 51+: $0.50 per page, Copied Pages Supplied 1 30: $0.69 per page, Copied Pages Supplied 31+: $0.53 per page, Copied Pages Supplied 6 50: $0.85 per page, Copied Pages Supplied 51 250: $0.60 per page, Copied Pages Supplied 251+: $0.35 per page, Copied Pages Supplied 11 60: $1.64 per page, Copied Pages Supplied 61 400: $0.80 per page, Copied Pages Supplied 401+: $0.44 per page, Copied Pages Supplied 1 40: $0.53 per page, Copied Pages Supplied 41+: $0.32 per page, Copied Pages Supplied 1 50: $0.50 per page, Electronic Records Medical Record Search Fee: $20.00, Electronic Records Copied Pages Supplied 1 50: $0.37 per page, Electronic Records Copied Pages Supplied 51+: $0.18 per page, Microfilm Medical Record Search Fee: $20.00, Microfilm Copied Pages Supplied 1+: $1.00 per page, Copied Pages Supplied 1 30: $1.17 per page, Copied Pages Supplied 31+: $0.88 per page, Copied Pages Supplied 1+ : $0.40 per page, Copied Pages Supplied 1+ Electronic Records: $0.20 per page, Copied Pages Supplied 1 25: $1.14 per page, Copied Pages Supplied 26 50: $0.86 per page, Copied Pages Supplied 51 100: $0.56 per page, Copied Pages Supplied 101+ $0.34 per page, Microfilm and other media: $22.19 + $1.68 per page, Certification (if not patient or their representative): $9.04 per request. Fax: 214-345-8811. The agency should inform the hospital of this fact, or information can be obtained from the Legal Department. He previously served as governor of Arkansas from 1979 to 1981 and again from 1983 to 1992, and as attorney general of Arkansas from 1977 to 1979. 99 0 obj <> endobj hb```f``f`b`` @1&|gVppp@H@9jon 30@ \s[!|F] 9 San Antonio, Texas 78249. Under Labor Code 413.011(a), fee guidelines adopted by the Division of Workers Compensation (DWC) for non-network services and approved out-of-network services are based on the most current reimbursement methodologies, models, and values or weights used by the federal Centers for Medicare and Medicaid Services. For Physician Assistant, Physician-in-Training and all other applicantsPlease submit your questions by email to&n , IMLC Qualifications The central theme of 2022 was the U.S. government's deploying of its sanctions, AML . Copy of supporting documentation used to file or amend a record . How do I get my medical records? Medical Records for SSI and SSD in Texas A physician may not charge a fee for copies (and therefore may not withhold the copies) where the records are requested: (1) by a licensed Texas health care provider or any American or Canadian licensed physician for acute or emergency medical care; or Massachusetts law allows physicians not covered by HIPAA to charge a base fee of $15.00 for each request, as well as a copying charge of $0.50 per page for the first 100 pages, and $0.25 per page in excess of 100. Health Information Management Department In 1995, the Texas Legislature amended this law to address the release and confidentiality of health care information. Texas law does not specify who keeps the fees. Max Fee: $150.00 per request Statute Title 22 Part 4 Chapter 401 Section 1711-A Maryland Information is available on the TDLR website. non-physicians) from practicing medicine. Understanding DWC medical reimbursement policies and fee guideline rules is crucial to successful reimbursement for workers' compensation claims. . After compiling expert witness fee data from more than 35,000 cases, we discovered that the average rate for initial case reviews for all expert witnesses is $356/hour, the average rate for deposition appearances is $448/hour, and the average rate for trial testimony is $478/hour. the American Association of Notaries, Inc., are underwritten by Western Surety Company (established 1900). Taking a deposition of a witness (for each 100 words). 0 X-rays: $10 Medical Record Search Fee plus the actual cost of reproduction. 3s|{&?T3-T;i Preparing and filing a delayed certificate. - DDS report costs in the Medical Costs of Consultative Examinations section of the eMOR and Form SSA-4513 - State Agency Report of Obligations for SSA Disability Programs. If you have questions about how to obtain medical records, please call 469-698-1000 and select the option for Medical Records and your call will be routed accordingly. Bush state office building. Note: For in-person orders at DSHS in Austin, payment made by credit card requires a $2.25 processing fee.BIRTH RECORD FEESDEATH RECORD FEESMARRIAGE/DIVORCE RECORD FEESEXPEDITED FEES. Requests for medical records can come directly from patients, who may be requesting records for their own use. To learn if your physician has been sued, contact the court clerk in the county where your physician practices. IMLC Renewal Information Here are some guidelines regarding the release of medical records. MLN4840534 April 2022. We're currently offering brand new members a discounted rate of $250 for the first two years. The fee may not exceed the sum of: (1) a basic retrieval or processing fee, which must include the fee for providing the . However, if you look up a doctor using Look up a Licensee, you can see the doctors reported specialty area of practice and any reported specialty board certifications. A Guide to the Texas Medical Records Privacy Act Iain Roberts | 6 min read | Updated On - September 23, 2022 The Texas Medical Records Privacy Act (TMRPA), or the "Texas privacy act", came into effect on September 1, 2019. Texas Medical Board Rules. ); d. Flynn Brothers, Inc. v. First Medical Associates, 715 S.W.2d 782 (Tex. 1. A basic retrieval or processing fee not to exceed $45.79 for first 10 pages of records; then, Actual cost of mailing, shipping, or otherwise delivering the provided copies, a retrieval or processing fee, which may not exceed $82.95; and. the actual cost of mailing, shipping, or otherwise delivering the provided copies. Average rates. The Texas Legislature sets the fees our hospital charges for copies of medical records. Please select your state from the dropdown menu below and then click on the "Update State" (There are four possible responses when a subpoena is received. HIPAA defines mental health care professionals as psychiatrists, psychologists, and Licensed Professional Counselors. State laws typically permit providers to charge a per-page copy fee, of up to a certain dollar value, or to charge a flat fee of up to a certain amount for the entire medical record. The information presented should be used as a resource, selected and adapted with the advice of your attorney. Section 164.052(a)(13) of the Medical Practice Act authorizes disciplinary action against any licensee for impersonation of a licensed practitioner or permitting another to use his license to practice medicine. time there is no centralized state repository for medical records. Texas.gov will remit the amount paid to the Texas Physician Assistant Board on your behalf. Chapter 134 Benefits Guidelines for Medical Services, Charges, and Payments. 713-644-2299; . The document must establish: 6. In addition, actual cost of mailing or shipping. How do I get my medical records? The subpoena must be accompanied by either: You can reasonably rely on a parents representation that they have custodial rights. The physician shall furnish the information within 15 business days after the date of receipt of the request, and reasonable fees for furnishing the information. Is that legal? Find a Physician; News of the Day; Get Involved; Search. To have the newsletter conveniently delivered to your email, please fill out the form below to subscribe to our newsletter. Medical Reimbursement Policies. Find out how to get copies of your child's immunization records. These fee guidelines do not apply to health care facility services, prescription drugs, and dental services. These subpoenas are generally received from a court reporter or a medical records service and have no authorization or protective order attached. For example, anyone filing a claim a workers' compensation claim (for injuries sustained on the job) must have their employer fill out a detailed injury report and send it to the insurer. The OCR accepts complaints electronically at its complaint portal website and also: By mail: Marisa Smith, Regional Manager Office for Civil Rights - Region VI U.S. Department of Health and Human Services 1301 Young Street, Suite 1169 Dallas, TX 75202 By fax: (202) 619-3818 OCR's Customer Response Center: (800) 368-1019 Call Comp Connection for Health Care Providers at800-252-7031 option 3, or email CompConnection@tdi.texas.gov. Por favor, responda a esta breve encuesta. House Bill 714/PA 102-0183 (Sen. Laura Fine/Rep. A new item will be generated on the Application Req , Licensing Physician Applicants The Board collects and verifies applicant credentials, as required by statute , l of the license as a person holding a full Texas medical license. To assist our pending licensure applicants affected by and/or wanting to assist with the response to COVID-19, the TMB is granting examination waivers for applicants of the license types listed ab , No. $563.40 Total amount charged on credit card. hVmk0+1 n-5vvR1|gt'=d asK x IpUJzG|XAqdDp9?n^qHl~0y(6v t/ob]yLF%QU$1MG?w*\Gb f|S["ULlP y2MPN=@l6{%4*R]7b.b)j 2zU. For more information, contact us at 800-252-7031, option 3 or CompConnection@tdi.texas.gov. The hospital fee guidelines are applicable to services provided in acute care hospitals appropriately licensed by the Texas Department of State Health Services. Note: The TMB cannot give legal advice. When charging for travel fees, you must separate notarial fees from travel fees. Texas Hospital Records. The request must be accompanied by a medical authorization signed by the patient, In the context of a health care liability claim being asserted under Chapter 74 on behalf of a deceased patient or a patient who has been judicially determined to be incompetent, records may be released if accompanied by a medical authorization signed by a parent, spouse, or adult child of the deceased or incompetent person. This method provides assurance that the request was delivered. South Texas Health System McAllen Attn: Medical Records Deptartment 301 W. Expressway 83 McAllen, Texas 78503 Monday through Friday, 8 a.m. to 4:30 p.m. Download the Authorization Form (PDF) You may request your medical records for any South Texas Health System facility at any location. Minnesota; Search Fee: $20.35 Copy Fee: $1.53/page X-rays: $10 search fee . While Texas law protects patients' medical records from unauthorized eyes, there are numerous instances where these records must be shared with third parties. Can I file a liability claim through the Medical Board against my physician? However, under Texas state law, the health record copying fee should have been $25. Don't forget, you can also view your own results, medications, immunizations, and medical history in the MyChart Patient Portal. The Medical Fee Guideline conversion factors are established by 28 Texas Administrative Code 134.203. If another physician has taken over the practice, the records may also be available there. You have a deadline of 15 days to provide a written, signed, and dated statement detailing the reason for the denial and providing instructions to the requestor on how to file a complaint with the federal Department of Health and Human Services (if the physician is subject to HIPAA) and the Texas Medical Board. endstream endobj 100 0 obj <>/Metadata 10 0 R/Outlines 17 0 R/Pages 97 0 R/StructTreeRoot 19 0 R/Type/Catalog/ViewerPreferences 116 0 R>> endobj 101 0 obj <>/MediaBox[0 0 612 792]/Parent 97 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 102 0 obj <>stream Medical Board DWC medical reimbursement policy and fee guideline rules in 28 Texas Administrative Code (TAC), Chapter 134 - Benefits - Guidelines for Medical Services, Charges, and Payments provide the methodologies used to determine appropriate reimbursement amounts, explain reimbursement requirements when a service or treatment is not addressed in a guideline, and clarify when DWC fee guidelines apply to medical services and treatments provided through a workers compensation health care network. 1945, writ ref'd w.o.m.). Always provide a written receipt for fees charged, completely separating any non-notary business fees, such as travel expenses, from the actual notary fees charged. Please consult an attorney if you have questions regarding liability claims. At this time there is no centralized state repository for medical records. DEPARTMENT OF HEALTH Amendments to Charges for Medical Records [51 Pa.B. Osteopathic manipulation is the movement of the bones and joints. State laws typically permit providers to charge a per-page copy fee, of up to a certain dollar value, or to charge a flat fee of up to a certain amount for the entire medical record . Arlington, TX 76010, Authorization for Release of Patient Information, Autorizacin de Divulgacin de la Informacin del Paciente. Am I eligible for the NCT Registry if I completed only an alternate 20 hour radiology training course for a podiatric medical assistant? Here are some tips on locating a new physician: For physicians who accept Medicare payments, visit the Centers for Medicare and Medicaid Services' Physician Compare: https://www.medicare.gov/physiciancompare/. Before You Apply Yes. Please mail all requests for medical records to: Texas Health Resources Health Information Management Department Release of Information 500 E. Border Street, Suite 700 Arlington, TX 76010 Email: HIMSROI@texashealth.org Phone: 1-855-681-8243 Fax: 214-345-8811 A reasonable feefor providing copies of medicalrecordsin electronic format is a charge of no more than: $25 for 500 p . Consequently, specific requirements for Texas workers compensation insurance carriers processing and payment of medical bills from FMTFs and a separate medical dispute resolution process to resolve disputes over charges billed directly to an injured employee by an FMTF are established by DWC rules. Notaries are also required to post their fees for the public, and you should give a written itemized invoice for your notarial services. Box num , The HIPAA Release Form Texas is used to obtain medical records while complying with HIPAA regulations. The requested copies of medical and/or billing records or a summary or narrative of the records shall be furnished by the physician within 15 business days after the date of receipt of the request and reasonable fees for furnishing the information. Medical records management encompasses not only managing the records of current patients, but also retaining old records against possible future need, and providing copies or transferring records to a third party as requested by the patient or the patient's authorized representative. Requests for medical records can come from a family member of the patient. The HIPAA Journal is the leading provider of news, updates, and independent advice for HIPAA compliance, (free PDF document Opens directly in browser). Everyone; Covered Entities; Business Associates; Compliance Officers; . Accessed on October 22, 2018. California Limit on Fees Mandated by State Law Yes Copy Fees for First Pages All pages = $0.25/ page Reproduction Costs Labor and supplies Electronic Records Copy Fees for Mental Health Records. TMA's . HIPAA Advice, Email Never Shared This is found in S241.154(e) of the Health and Safety Code. - Hospitals For Adult Patients How long do physicians have to keep medical records? Please download the Authorization for Release of Patient Information, below, complete all required fields, sign it, and mail the form to: Texas Health Resources CompConnection@tdi.texas.gov, 1601 Congress Avenue, Austin, TX 78701 | PO Box 12050, Austin, TX 78711 | 512-804-4000 | 800-252-7031, Medical and facility fee guidelines and information, 28 Texas Administrative Code (TAC), Chapter 134, Subchapter A. Mail a written request for records to the physician by certified mail, return receipt requested. $0.60 for pages 51-250. If you or your physician needs copies of your medical records, please submit our Medical Records Release Form and allow 3-5 business days for processing. Medical Records Price Index 2022 The Medical Records Price Index is published to the Ohio Department of Health website annually and establishes the maximum amounts health care providers may charge for copying a patient's medical record. Traditionally, state law governed the amount providers could charge for a medical record copy fee. , The laws and rules governing the Texas Medical Board, Texas Physician Assistant Board, Texas State Board of Acupuncture Examiners, Texas Board of Medical Radiologic Technology, and Texas Board of Respiratory Care are located in this section of the website. Liability claims are heard in civil court. Center for Health Emergency Preparedness & Response, Texas Comprehensive Cancer Control Program, Cancer Resources for Health Professionals, Resources for Cancer Patients, Caregivers and Families, Food Manufacturers, Wholesalers, and Warehouses, Emergency Medical Services (EMS) Licensure, National Electronic Disease Surveillance System (NEDSS), Health Care Information Collection (THCIC), Updating a Birth Record Based to Adoption, Persons Qualified to Request or Change Records, Requirements for Requesting/Changing Vital Records. 6963 (December 5, 2020), the Department of Health (Department) published the guidelines and fees that a health care provider or facility may charge in response to a request for production of medical charts or records. Most record books include a space to record the notarial fees charged. TMLT policyholders will receive a 10 percent dividend when they renew their policies in 2019. DWC established a conversion factor and an annual update to provide predictability and reflect changes in medical service delivery costs to system participants. Please find The TSBDE's Fee Schedule located below: 2017 Texas fees for copies of medical records in paper form: 1-10 pages $45.79, includes basic retrieval or processing fee; 11-60 pages $1.54 per page; 61-400 pages $0.76 . Sometimes patients send a written request for records to the doctors next of kin or the executor of the doctors estate. In addition, information is provided , gencys enforcement process, submit an open records request, and access agency statistics and data. The annual update is based on the Medicare Economic Index (MEI), which is a weighted average of price changes for goods and services used to deliver physician services. Hospitals: $18 retrieval fee for the first 5 pages of the record. Requests for records created and kept by a hospital should be directed to the hospital rather than to the physician. Mail a written request for records to the physician by certified mail, return receipt requested. Look Up a License 25 0 obj <>/Filter/FlateDecode/ID[<1386554CCC9ADB48A38B6659AD9BEA16>]/Index[18 15]/Info 17 0 R/Length 57/Prev 40626/Root 19 0 R/Size 33/Type/XRef/W[1 2 1]>>stream Por favor, responda a esta breve encuesta. ~$UuYIe>&@ a9 V#4"e:kmIr,2f#{"ANV-.Q7@pa DVTBTbt*["4~}d++ jQuery( document ).ready(function($) { Obtain a copy of the defendant's driving record. Requests for records created and kept by a hospital should be directed to the hospital rather than to the physician. Generally, physicians may enter into independent contractor arrangements w . A reasonable fee for providing copies of medical records in electronic format is a charge of no more than: $25 for 500 p . Texas Medical Liability Trust Resource Hub. Unless otherwise directed by applicable federal or state . Available at https://www.texmed.org/Medical_Records/ (TMA Log-in required.). Contact the Release of Information Office at 956-632-4061. Please consult an attorney if you have questions regarding liability claims. When in doubt about how to appropriately release medical records, please contact the TMLT claim department at 800-580-8658. The Department of Health and Environmental Control (DHEC) is responsible for calculating an annual adjustment to the fee charged for the search and duplication of medical records in accordance with S.C.Code 44-7-325 and 44-115-80. Copyright 1997-2023 TMLT. How do I get my, https://www.medicare.gov/physiciancompare/, https://hhs.texas.gov/services/health/medicaid-chip, http://www.tmb.state.tx.us/page/look-up-a-license, http://www.texashealthoptions.com/compare/index.html, Am I eligible for the NCT Registry if I completed only an alternate 20 hour radiology training course for a podiatric, Compact w/ Texans (Complaint About Agency), Governor's Committee on People with Disabilities. A patient may also contact the TMB to determine if a custodian of records has been reported. By simply possessing patient health records, a physician may be pulled into a legal process at any time. prosecutor's office is involved. . Requests may come in the form of a subpoena. We recommend that you always prepare a detailed bill for any services you perform as a Texas public. 7570] [Saturday, December 4, 2021] In the notice published at 50 Pa.B. Specifically, the annual adjustment is based the Consumer Price Index for all Urban Consumers, South Region . Medical records from licensed health institutions, facilities, or health care providers maximum allowable charge cannot exceed $14.00 for the first ten or fewer pages, $0.50 per page for pages 11-40, and $0.33 per page for every additional page Actual postage or shipping costs and applicable sales tax, if any, also may be charged. B7v1cOvP884#iNd~3D ( No. Dr. Randolph Zuber and his son defense attorney Blake Zuber have a long history of service to TMLT and the physicians of Texas, We are sad to announce the death of Randolph Clark Zuber, MD, a founder and member of our first Governing Board. 1801 Congress Avenue, Suite 9.200 Civil Practice and Remedies Code. hbbd``b`: $Xi De -(qaL Hz$, /m&FO@#O , For Minor Patients: For minor patients, medical doctors are required to keep the records for 7 years until the patient reaches the age of 21 (whichever date is later). American Association of Notaries is owned by Kal Tabbara, a licensed insurance agent in Texas. endstream endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <>stream William Jefferson Clinton (n Blythe III; born August 19, 1946) is an American retired politician who served as the 42nd president of the United States from 1993 to 2001. Page 2 of 3 Findings and Decision Authority This medical fee dispute is decided according to Texas Labor Code 413.031 and applicable rules of the Texas Department of Insurance, Division of Workers' Compensation (DWC). Subchapter E. Health Facility Fees. tering into partnerships, employee relationships, fee splitting, or other situations with non-physicians where the physician's practice of medicine is in any way controlled or directed by, or fees shared with a non-physician. Offers end soon! A physician may not charge a fee for a medical or mental health record if the request is related to a benefits or assistance claim based on the patient's disability. . The fee may not include the cost associated with searching for and retrieving the records. The 2022 DWC Conversion Factor is 62.46 The 2022 Medicare Conversion Factor is 34.6062 Per the medical bills, the services were rendered in zip code 75075; therefore, the Medicare locality is "Rest of Texas." The Medicare Participating amount for CPT 64447 at this locality is $87.48. . Please take this short survey. Most record books include a space to record the notarial fees charged. What are reasonable fees for billing records? 2023 Texas Health Resources. Instructions on obtaining records of your care at a Texas Health facility. This is found in 241.154(b)-(d) of the Health and Safety Code. %PDF-1.7 % The medical record fees at HMHD facilities will not exceed the rates permitted by the Texas State Legislature. For members only: 21st Century Cures Act (Mar. Release of Information The following case law/legal authority may be helpful in the analysis and are available from any local law library or private counsel: a. Garcia v. Texas State Board of Medical Examiners, 384 F.Supp. Subchapter C. Medical Fee Guidelines. The State of Texas' fiscal year begins on September 1st. Fees for Certificates of Registration, Radioactive Material Licenses, Emergency Planning and Implementation, and Other Regulatory Services: 09/07/14 289.205 (HTML) 289.205 (PDF, 91KB) Hearing and Enforcement Procedures: 12/27/07 289.226 (HTML) 289.226 (PDF, 163KB) Registration of Radiation Machine Use and Services: 07/16/21 289.227 (HTML)