Physician Assistant Board to Review Its Practice Rules and a Long Discipline Slate Nov. 6

The board that licenses Texas physician assistants will meet Nov. 6 to review the rules governing the profession and vote on a long slate of disciplinary orders.

Those rules cover licensing, the terms on which a physician assistant practices alongside a supervising doctor, prescribing authority and the grounds for taking a license away. They sit in the Texas Medical Board’s rule book, which adopts them on this board’s recommendation. The notice lists two things at once: a review of the chapter and adoption of proposed amendments to it. What those amendments would do is not in the public record. Only one change to the chapter reached the Texas Register this year, and it is unrelated to a broader rewrite; the Dispatch found no published proposal matching one, and no notice of a chapter review in the Register’s rule-review section.

That published change was narrow and is already law. A continuing-education rule adds two hours on collecting forensic evidence and one hour on nutrition and metabolic health to what every physician assistant must take every two years. The Medical Board proposed it in July under two laws passed in 2025. It drew no written comments and took effect Sept. 3.

Most of the meeting is case work. The board will vote on agreed orders, remedial plans, reinstatements, mediated settlements, terminations of suspension, default determinations and clerical corrections to earlier orders, and on complaints staff wants dismissed, sorted by whether they turn on the standard of care. Applicants whose eligibility is in doubt appear in person. It also decides what to do with referrals to the Texas Physician Health Program, the confidential route for practitioners dealing with illness or substance problems — take each referral or send it back. None of this amounts to a finding until the board acts, and state law lets it deliberate on license applications in closed session.

Reports on enforcement activity, warning letters, criminal cases and files more than a year old round out the agenda, along with a vote on who sits on the panel of expert consultants the board leans on in contested cases. An open forum for public comment comes near the end, after the votes. Whether the rules amendments surface as a published proposal is the thing to watch; nothing in the Texas Register names them yet.

Meeting at a glance

Board members

• Karrie Lynn Crosby, PA-C — presiding officer; Waco; physician assistant.
• Clay P. Bulls, PA-C — Abilene; physician assistant; board secretary.
• Sandra Longoria, PA-C — Harlingen; physician assistant.
• Chad Moody, PA-C — Hemphill; physician assistant.
• Andrew Sauer, PA-C — Amarillo; physician assistant.
• Richard M. Todd, PA-C — Rockdale; physician assistant.
• Jennifer L. Wegenhoft, PA-C — Columbus; physician assistant.
• Rao K. Ali, M.D. — Southlake; physician.
• Shane M. Bailey, M.D. — Austin; physician.
• Victor S. Ho, M.D. — Houston; physician.
• Lyle Grimes — Cedar Park; public member.
• Cameron J. McElhany — Austin; public member.
• Lali Shipley — Austin; public member.

Names and cities are from the board’s roster page, checked October 28, which shows all 13 seats filled, and match the member list on the July 17 agenda. Two members seated as recently as the November 2025 meeting, with terms that ran to 2029, are no longer on the board; the governor’s March 2026 appointment release for Bailey and Wegenhoft does not say whom they replaced, and the Dispatch found no explanation. The governor’s releases give Crosby’s city as Robinson and McElhany’s as Houston, where the roster page says Waco and Austin; the roster page is followed here. No release designating Crosby as presiding officer was found. Meeting contact: Alicia Freeman, (512) 971-7205.