Office-Based Anesthesia Rules

Physicians who provide or perform procedures involving Level II–IV anesthesia services in an outpatient setting, including the use of analgesics and anxiolytics, are required to register with the Texas Medical Board (TMB). The biennial registration fee is $210 per physician and is combined with the license renewal process. The OBA rules define four levels of anesthesia, each with escalating requirements for personnel, equipment, monitoring, and emergency preparedness. For example, Level I covers minimal sedation with oral agents or nitrous oxide/oxygen, while Level IV covers deep sedation, general, or regional anesthesia and requires compliance with current American Society of Anesthesiologists (ASA) standards. Physicians must also notify TMB within 15 days if a procedure results in an unanticipated hospitalization longer than 24 hours or a death occurring intraoperatively or within 72 hours postoperatively. Registered OBA locations are subject to inspection, by the Texas Medical Board, with at least five days’ notice provided.
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 Include “Office Based Anesthesia” in the Subject line of the email.

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📣 What: MOCA Simulation at the ASA 39th Annual Meeting SPA-AAP 2025
🗓️ When: Thursday October 9, 2025 from 8:30 AM-4:00 PM
🎊 Who: MOCA® PART 4
25 POINTS OF QUALITY IMPROVEMENT ACTIVITIES
7 AMA PRA CATEGORY 1 CREDITS™
Member Price: $1500.00 *
Non Member Price: $1500.00 *
*Registration for the Society for Pediatric Anesthesia Annual Meeting is also required for pediatric anesthesiologists.
Participate in the one-day, high-fidelity simulation MOCA course offered by the Society for Pediatric Anesthesia (SPA) as an add-on activity to the SPA 37th Annual Meeting will fulfill the Part IV requirement of the American Board of Anesthesiology’s Maintenance of Certification in Anesthesiology Program.
The Society for Pediatric Anesthesia is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Society for Pediatric Anesthesia designates this live activity for a maximum of 7 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
LEARNER OBJECTIVES:
-Offer a contextual learning opportunity to assess and improve their practice in areas such as crisis management in a simulation setting at an ASA-endorsed activity.
-Realistically recreate challenging clinical cases to allow participants to problem‐solve in a manner that is similar to actual clinical experience.
-Provide an opportunity for physicians to improve their skills in Practice-Based Learning and Improvement.
-Provide an opportunity for physicians to refresh and refine Teamwork, Communication and crisis resource management skills with colleagues from various types of clinical practices.
Questions? Contact Jenny Patterson at the Society for Pediatric Anesthesia, (804) 282-9780 or jenny@societyhq.com.
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📣 What: MOCA Simulation at the ASA 39th Annual Meeting SPA-AAP 2025
🗓️ When: Thursday October 9, 2025 from 8:30 AM-4:00 PM
🎊 Who: MOCA® PART 4
25 POINTS OF QUALITY IMPROVEMENT ACTIVITIES
7 AMA PRA CATEGORY 1 CREDITS™
Member Price: $1500.00 *
Non Member Price: $1500.00 *…
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