Office-Based Anesthesia Rules

Each physician who provides anesthesia services or performs a procedure for which anesthesia services are provided in an outpatient setting, including the use of analgesics and anxiolytics, must register and pay a fee to the Texas Medical Board. The current fee for office-based anesthesia is a total of $210, per physician.
In addition, each physician who registers with the TMB for office-based anesthesia, or OBA, must identify what level of anesthesia services are provided at each practice site, with some exception for anesthesiologists.
Registration for OBA will be combined with the physician biennial registration. If you need to register to provide OBA services between registrations, please contact the Registration Department, for the proper forms.
Please visit Chapter 173 in the Board Rules for the complete regulations.

Inspections of registered OBA locations in Texas.
In order that we may ensure compliance with Board Rule 173 regarding the provision of anesthesia services in outpatient settings, the Board implemented, starting January 2014, a program to inspect registered OBA locations in Texas.
The Board will provide at least 5 days’ notice prior to inspection. At, or prior to, the time of inspection each physician who has registered an OBA location will be required to provide to the information requested by the Board. Click here for a general OBA Inspection Checklist. Please do not submit any documentation at this time.
For the complete and most current information, please visit the Texas Medical Board’s Office-Based Anesthesia page: https://www.tmb.state.tx.us/apply-renew/physician/additional-practice-topics-physicians
For questions related to Office Based Anesthesia, please reach out to info@tsa.org and include “Office Based Anesthesia” in the subject line of the email, thank you.
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March Committee Chair Spotlight: Dr. Christopher Cook, DO, FASA
Currently Chair of the Economics Committee.
Dr. Christopher Cook serves as Chair of the TSA Economics Committee and as TSA Vice-Speaker. He focuses on the economic, workforce, reimbursement, and policy issues shaping anesthesiology practice in Texas. Dr. Cook also chairs TSA's Ad Hoc Committee on 1099 and Locum Tenens Anesthesiologists and recently helped lead TSA virtual education for members interested in locum, 1099, and independent practice pathways. He previously served as Chair of the Communications Committee and was the 2024 recipient of the Ray Callas Outstanding Key Contact Award.
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March Committee Chair Spotlight: Dr. Christopher Cook, DO, FASA
Currently Chair of the Economics Committee.
Dr. Christopher Cook serves as Chair of the TSA Economics Committee and as TSA Vice-Speaker. He focuses on the economic, workforce, reimbursement, and policy issues
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