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Requirements

Required topic

Nutrition and metabolic health: which states require it

6 states list this topic in their physician license renewal requirements.

Plan my renewal

Built from each state’s requirement data; the oldest fact here was last verified . Requirements change — confirm with your Board. This is general information, not legal advice.

States

Sources

Show the 53 sources behind this list
  1. Iowa Board of Medicine (Department of Inspections, Appeals, and Licensing) — Continuing education for physicians
  2. 481 IAC chapter 654 — Continuing education and training requirements (formerly 653 IAC ch. 11; ARC 9114C, effective May 21, 2025; IAC 9/30/26)
  3. 481 IAC chapter 652 — Permanent and administrative medicine physician licensure (expiration and renewal, 652.10–652.14)
  4. Iowa Code § 272C.2 — Continuing education requirements
  5. Iowa Code § 232.69 — Mandatory reporters of child abuse; training
  6. Iowa Code § 235B.16 — Dependent adult abuse; training of mandatory reporters
  7. 2026 Iowa Acts ch. 1129 (H.F. 2676) — nutrition and metabolic health CE (Iowa Code § 148.3(5))
  8. Louisiana State Board of Medical Examiners — Renewals (CE Broker required)
  9. Louisiana State Board of Medical Examiners — Board Orientations & Online Courses (first-renewal requirements)
  10. Louisiana State Board of Medical Examiners — Board Approved CME Courses for CDS Requirements
  11. Louisiana State Board of Medical Examiners — Annual Continuing Education Requirements by Practitioner Group (July 20, 2026, PDF)
  12. LAC 46:XLV Chapter 3 — Physicians, incl. §§415, 417 (renewal) and §§433–449 (CME), August 2025 compilation (PDF)
  13. LAC 46:XLV Chapter 40 — CME on Controlled Dangerous Substances, §§4001–4005 (PDF)
  14. Act 744 of 2024 (HB 869) — R.S. 37:1270(A)(8), sickle cell disease CE for emergency medicine (enrolled)
  15. LSBME notice of intent, April 2026 — proposed CME rule changes (Laws and Rules course, medical review panel credit), redline
  16. Act 463 of 2025 (SB 14), enrolled — nutrition and metabolic health CE (R.S. 37:1270(A)(8)(b))
  17. Missouri State Board of Registration for the Healing Arts — board home page
  18. Missouri Code of State Regulations, 20 CSR 2150-2 (current through May 31, 2026) — includes 2150-2.001 definitions, 2.050 annual registration and 2.125 Continuing Medical Education as amended effective June 30, 2026
  19. Missouri Department of Commerce and Insurance — Proposed amendment to 20 CSR 2150-2.125 (one hour on the health benefits of nutrition), filed November 14, 2025
  20. RSMo 334.075 — Renewal of certificate, minimum continuing education requirement
  21. RSMo 334.080 — Licensees to renew registration
  22. North Dakota Board of Medicine: Continuing Medical Education
  23. North Dakota Board of Medicine: Renew or reactivate a medical license
  24. North Dakota Board of Medicine: Physician FAQs (license expiration)
  25. North Dakota Board of Medicine: ND abortion laws training
  26. N.D. Admin. Code chapter 50-04-01 — Continuing medical education standards (amended April 1, 2024)
  27. N.D. Century Code chapter 43-17 (section 43-17-27.1, physician continuing education)
  28. Senate Bill 2401 (2026 special session) — adds one hour of nutrition and metabolic health CME
  29. Texas Medical Board — Continuing Education Requirements for Physicians
  30. Texas Medical Board — Physician CME Hours Requirement Chart (PDF)
  31. Texas Medical Board — Physician Renewal (expiration dates, grace period)
  32. Texas Medical Board — Continuing Education Tracking (CE Broker, required from September 1, 2026)
  33. 22 TAC §161.35 — CME Requirements for License Renewal (text effective January 9, 2025, via Cornell LII)
  34. Texas Register, July 10, 2026 (51 TexReg 4460) — proposed amendments to §161.35 (forensic evidence; nutrition and metabolic health)
  35. Texas Register, August 28, 2026 — §161.35 amendments adopted without changes, effective September 3, 2026
  36. 22 TAC §161.30 — Registration of license (via Cornell LII)
  37. 22 TAC §161.31 — Exemptions from registration fee and CME (via Cornell LII)
  38. Texas Occupations Code Chapter 156 — Registration of physicians and CME (§§156.051–156.061)
  39. SB 31 (89th Legislature), Section 19 — Life of the Mother Act course
  40. HB 47 (89th Legislature), enrolled — forensic evidence collection CME (Occupations Code §156.057)
  41. Texas Nutrition Advisory Committee — 2026 annual report and Dietary Guidelines for Texans (PDF)
  42. West Virginia Board of Medicine — Continuing Education, Medical Doctors
  43. 11 CSR 6 — Continuing Education for Physicians and Podiatric Physicians, emergency rule effective August 11, 2026 (nutrition)
  44. 11 CSR 6 — rule record and filings (amended rule effective July 1, 2026; Board's statement of changes)
  45. 11 CSR 6 — final filing with redline and statement of changes (PDF)
  46. 11 CSR 1A — Licensing of Physicians and Podiatric Physicians, emergency rule (renewal by last name, §10)
  47. W. Va. Code § 30-1-7a — Continuing education (controlled substance training within one year of initial license)
  48. HB 4951 (2026), enrolled — nutrition CME for MDs (§ 30-3-12) and DOs (§ 30-14-10), in effect June 12, 2026
  49. West Virginia Board of Osteopathic Medicine — D.O. Renewal Application Instructions
  50. West Virginia Board of Osteopathic Medicine — CME Approved Courses (controlled substance training)
  51. 24 CSR 1 — Licensing Procedures for Osteopathic Physicians, emergency rule effective August 18, 2026 (nutrition) (PDF)
  52. 24 CSR 1 — final rule effective July 2, 2026 (PDF)
  53. 24 CSR 1 — June 2025 proposal and statement of changes (PDF)

Each state’s page lists its own sources and the date its facts were last verified.