Relating to requirements for the renewal of a physician's registration permit.

HB 4168 requires physicians who delegate medical tasks to non-physician health care providers (including advanced practice nurses and physician assistants under prescriptive agreements) to confirm proper supervision on their Texas physician registration renewal applications. The bill adds a new requirement to the renewal form where physicians must affirm they've properly supervised all non-physicians and specifically addressed prescriptive agreements with APRNs/PAs. The Texas Medical Board must create an electronic process for this confirmation by December 1, 2025, and the new rule applies only to renewal applications submitted on or after January 1, 2026. This affects physicians who delegate care to non-physician staff, mandating documentation of supervision practices during registration renewals.