OT Act & Rules

Act and Rules 

Rule Change/Rule Review Information: See the Proposed/Adopted tab below.   
      TBOTE Proposed Rules - August 2020
      TBOTE Adopted Rules - Effective September 1, 2020
      TBOTE Adopted Rule Review - July 2020
OT Rules - September 2020 PDF: Current, Compiled version of the OT Rules

   The OT Rules may also be accessed from the Texas Administrative Code, which reflects any rule changes once they are effective.

  Previous Rule Versions: To access previous versions of the OT Rules, click this link. Next, enter %occupational% under Agency Name and click the "Find" button. You will then be taken to a screen with the rule sections. After you have selected the desired section and are brought to that screen, select the Historical option in the upper left corner for previous versions.
OT Practice Act - September 2019 PDF: Current, Compiled version of the OT Practice Act 

  The OT Practice may also be accessed from this link.

Please visit the FAQs for answers to frequently asked questions regarding the OT Practice Act and Rules.


Additional Resources:
Telehealth - General Overview
Supervision of an OTA with a Regular License - General Overview
OT Board's Facility Registration Program Discontinued Sept. 1, 2019
Initial Licensure - General Overview
     This is a PDF of a PowerPoint with information for applicants and new licensees; however, all licensees may use this as a resource for a general overview.
  • Occupational Therapy Act and Rules

    OT Rules
    As mandated by the Texas Occupational Therapy Practice Act, the OT Board adopts rules to govern the practice of occupational therapy in the state. New rules, amendments to existing rules, and repeal of rules are adopted in response to developments and trends in occupational therapy practice or when mandated by legislative action. The rules establish a minimum standard, ensuring that the public is adequately protected from poor practice and unethical practitioners.

    The rulemaking process requires the Board to propose and vote on any rules changes and to send them on to the Executive Council of Physical Therapy and Occupational Therapy Examiners for review. If approved by the Executive Council, they are printed in the Texas Register. Comments on the proposed amendments may be submitted no later than 30 days from the date that the proposals are published in the Texas Register

    At the next board meeting, the board members will again review the proposed changes as well as any comments from the public. A final vote is taken on adoption of the proposed rule changes, in full or in part, based on consideration of the comments from the public. Notice of the adopted rules is printed in the Texas Register, along with a response to any comments received. The rules automatically go into effect 20 days after notice of the amendments is filed, unless otherwise stated. In general, the whole process takes approximately four to six months, depending on public comment or meeting schedules.

    OT Practice Act
    In 1983, the 68th Texas Legislature passed Senate Bill 1213 enacting the Texas Occupational Therapy Title Act (Vernon's Texas Civil Statutes, Article 8851). The legislation established the Texas Advisory Board of Occupational Therapy (TABOT) and attached it as an advisory board to the Texas Rehabilitation Commission. Effective September 1, 1983, the board was charged with grandfathering by March 1, 1984, all qualified occupational therapists and occupational therapy assistants who were working in the state of Texas.

    Senate Bill 690 was passed by the 73rd Texas Legislature in 1993, creating the Executive Council of Physical Therapy and Occupational Therapy Examiners. The OT Board was renamed the Texas Board of Occupational Therapy Examiners (TBOTE), and the OT Title Act was changed to the Texas Occupational Therapy Practice Act. Personnel for the OT Board and the PT Board are located in the same offices, while additional staff addresses administrative responsibilities for the Executive Council and both boards.

    The 1999 Texas Legislature codified the OT Practice Act and incorporated it into the Occupations Code, Chapter 454. The Occupations Code contains the enabling statutes for other licensed professions as well. The codification was intended to make the Act conform to current legal citations, terminology, and definitions and to eliminate obsolete provisions and a number of grammatical errors.

    In 2001 the Texas Legislature adopted a change to the OT Practice Act through SB 692 and HB 1919. The Act was amended again in 2009 by the 81st legislature to make changes to several sections, primarily to allow the board to determine late and restoration fees, and to allow restoration of an expired Texas license by various methods. In 2011, the Act was amended by the 82nd legislature to revise the date in the section Application of Sunset Act from 2013 to 2017. 

    In 2017, the 85th Legislature passed a Sunset Bill during the regular session.  This bill, SB 317, continued ECPTOTE and the OT and PT Boards until their next scheduled Sunset Review in 2029.  Further changes were made to the OT Practice Act including to remove language specifying the level of degree an individual must hold in order to be eligible for licensure to instead refer to entry-level degree requirements, update references to NBCOT and the initial certification examination, and add requirements regarding policies and procedures. Additional changes from SB 317 became effective in 2019, including the discontinuation of the Board's occupational therapy facility registration program. 


    TBOTE Proposed Rules - August, 2020
    Note: These are proposed rule changes. The current rules are in effect.

    The Board has proposed amendments to §374.1. Disciplinary Actions, concerning the Schedule of Sanctions contained therein.

    Notice of the proposal has been published in the August 21, 2020, issue of the Texas Register; a PDF of the notice may also be accessed from the link below. 

    CommentsComments on the proposed amendments may be submitted in writing to Lea Weiss, Occupational Therapy Coordinator, Texas Board of Occupational Therapy Examiners, 333 Guadalupe Street, Suite 2-510, Austin, Texas 78701-3942 or to lea@ptot.texas.gov within 30 days following the publication of the notice in the Texas Register.

    It is requested when sending a comment that individuals include the rule section to which the comment refers and that comments sent by email include "Public Comment" in the email's subject line.

    TBOTE Adopted Rules - Effective September 1, 2020

    The Board has adopted amendments to §364.1, Requirements for Licensure; §364.2, Initial License by Examination; §364.3, Temporary License; §364.4, Licensure by Endorsement; §367.1, Continuing Education; §370.2, Late Renewal, §370.3, Restoration of a Texas License; §371.1, Inactive Status; and §371.2, Retired Status. The adopted amendments include changes to initial licensure and renewal requirements, including the addition of training approved by HHSC on the prevention of human trafficking, pursuant to HB 2059 of the 86th Regular Legislative Session, as a requirement for all renewals. Further information regarding this new training requirement may be found on the License Renewal page.  

    Notice of the adoptions was published in the August 14, 2020, issue of the Texas Register. A PDF of the notice of adoption may also be accessed from the link below.
    The text of the rule changes as proposed was published in the June 19, 2020, issue of the Texas Register. A PDF of the proposals is also available from the link below. The amendments to the sections were adopted without changes.
    TBOTE Adopted Rule Review - July 2020
    Note: The information below refers to an adopted review of existing rules; the current OT Rules are in effect and may be accessed from the link below.
    The Board has concluded its review of all sections of its rules. 

    The Board finds the reasons for adopting the rules continue to exist and readopts the rules in accordance with the requirements of Texas Government Code §2001.039.

    With regard to Board rule §367.4, Process for Selecting a Peer Organization to Evaluate and Approve Continuing Education Courses, after a review by the Regulatory Compliance Division of the Office of the Governor, the division has approved the rule section, and, thus, the Board was able to readopt such. Further information regarding the division's determination may be accessed from this link: https://gov.texas.gov/organization/regulatory-compliance

    Notice of the readoption of §367.4 was published in the August 14, 2020, issue of the Texas Register. Notice of the readoption of the Board's remaining rules was published in the May 15, 2020, issue of the Texas RegisterA PDF of the notices of adoption may also be accessed from the links below.





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