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Requirements

Texas · MD and DO

Texas: Nutrition and metabolic health

MD: 1 hour, every renewal · DO: 1 hour, every renewal.

Plan my Texas renewal

Last verified against the sources below. Requirements change — confirm with your Board before you rely on this page. This is general information, not legal advice.

MD (medical doctor)

Hours
1 hour
How often
Every renewal
Who
Every licensee
Renewal cycle
Renews every 2 years; licenses expire on February 28, May 31, August 31 or November 30 — whichever date the Board assigned at licensure — in even-numbered years for even-numbered licenses and odd-numbered years for odd-numbered licenses.
Board
Texas Medical Board
The rule
Occupations Code §156.061 (SB 25) and 22 TAC §161.35(a)(3)(B), effective September 3, 2026: every physician (the Board: "ALL physicians") completes at least 1 credit each biennial renewal, formal or informal, based on the nutritional guidelines recommended by the Texas Nutrition Advisory Committee. The Committee's guidelines now exist: "Dietary Guidelines for Texans" in its August 2026 annual report (posted on the DSHS committee page). The Board says it applies to licenses expiring on or after May 30, 2027.

DO (osteopathic physician)

Hours
1 hour
How often
Every renewal
Who
Every licensee
Renewal cycle
Renews every 2 years; licenses expire on February 28, May 31, August 31 or November 30 — whichever date the Board assigned at licensure — in even-numbered years for even-numbered licenses and odd-numbered years for odd-numbered licenses.
Board
Texas Medical Board
The rule
Occupations Code §156.061 (SB 25) and 22 TAC §161.35(a)(3)(B), effective September 3, 2026: every physician (the Board: "ALL physicians") completes at least 1 credit each biennial renewal, formal or informal, based on the nutritional guidelines recommended by the Texas Nutrition Advisory Committee. The Committee's guidelines now exist: "Dietary Guidelines for Texans" in its August 2026 annual report (posted on the DSHS committee page). The Board says it applies to licenses expiring on or after May 30, 2027.

What to do next

Other states that require it

Iowa, Louisiana, Missouri, North Dakota, West Virginia. Every state that requires it

Sources

  1. Texas Medical Board — Continuing Education Requirements for Physicians
  2. Texas Medical Board — Physician CME Hours Requirement Chart (PDF)
  3. Texas Medical Board — Physician Renewal (expiration dates, grace period)
  4. Texas Medical Board — Continuing Education Tracking (CE Broker, required from September 1, 2026)
  5. 22 TAC §161.35 — CME Requirements for License Renewal (text effective January 9, 2025, via Cornell LII)
  6. Texas Register, July 10, 2026 (51 TexReg 4460) — proposed amendments to §161.35 (forensic evidence; nutrition and metabolic health)
  7. Texas Register, August 28, 2026 — §161.35 amendments adopted without changes, effective September 3, 2026
  8. 22 TAC §161.30 — Registration of license (via Cornell LII)
  9. 22 TAC §161.31 — Exemptions from registration fee and CME (via Cornell LII)
  10. Texas Occupations Code Chapter 156 — Registration of physicians and CME (§§156.051–156.061)
  11. SB 31 (89th Legislature), Section 19 — Life of the Mother Act course
  12. HB 47 (89th Legislature), enrolled — forensic evidence collection CME (Occupations Code §156.057)
  13. Texas Nutrition Advisory Committee — 2026 annual report and Dietary Guidelines for Texans (PDF)

MD facts last verified October 8, 2026 · DO facts last verified October 8, 2026.