Home › CME by state › Texas
Texas CME Requirements for Physicians (2026)
Everything the Texas Medical Board requires — total hours, mandated topics, the opioid/controlled-substance rule, and how it's tracked. Last reviewed 2026-07-10.
Board: Texas Medical Board. General CME: 48 hrs every 2 yrs (min. 24 Cat 1).
Opioid / controlled-substance CME in Texas
≥2 hrs — safe/effective pain management re: prescribing opioids & other CS. First two renewal periods, then ≥ every 8 yrs. Trigger: renewals designating direct patient care.
✓ No board pre-approval gate: No board pre-approval — any ACCME AMA PRA Cat 1 course covering §156.055 content counts. CE Broker reporting becomes MANDATORY 2026-09-01 (SB 912) — hard-stop renewal model.
All mandated CME topics in Texas
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Medical ethics / professional responsibility (bundles risk mgmt, domestic abuse, child abuse) | 2 hrs | per biennium | all |
| Controlled substances / opioid / pain management | 2 hrs | per biennium (FSMB says first 2 renewals then every 8 yr) | all (per TMB page) |
| Human trafficking prevention (standalone, HHSC-approved) | 1 hrs | 1st renewal then every 3rd renewal | all |
| Pain management clinic CME | 10 hrs | biennial (FSMB says annual) | pain-clinic directors/personnel |
| Nutrition & metabolic health | 1 hrs | eff 9/1/2025 | physicians (per SB 25) |
Notes
- Human trafficking is STANDALONE, separate from ethics bundle. Nutrition not yet on TMB page - verify.
Pick all your states in the free planner and get one 5-year schedule that batches your opioid/controlled-substance CME so a single course covers as many licenses as possible.
Build my multi-state CME plan →This page summarizes Tex. Occ. Code 156.055; SB 912 and related board policy as of 2026-07-10 for physicians (MD/DO). It is educational information, not legal advice — always verify current requirements with the Texas Medical Board before relying on them.