OT Act and Rules 

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. 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 to the Executive Council of Physical Therapy and Occupational Therapy Examiners for review. If approved by the Executive Council, they are published 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 published 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 rulemaking 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 address 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 the 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 Rule Changes – August 2025

The following concerns proposed rule changes. The current rules are in effect.

The Texas Board of Occupational Therapy Examiners has proposed amendments to §361.1, Statutory Authority, §364.1, Requirements for Licensure, §364.2, Initial License by Examination, §364.3, Temporary License, §364.4, Licensure by Endorsement, §364.5, Recognition of Out-of-State License of Military Service Members and Military Spouses, §369.1, Display of Licenses, §370.1, License Renewal, §370.2, Late Renewal, §370.3, Restoration of a Texas License, §371.1, Inactive Status, §371.2, Retired Status, §374.1, Disciplinary Actions, §374.2, Detrimental Practice, and §375.1, Fees.

Notice of the proposals has been published in the August 29, 2025, issue of the Texas Register, and a PDF of such is also available from the link below. 
TBOTE Proposed Rules – August, 2025

Comments: Comments on the proposed amendments may be submitted in writing to Lea Weiss, Occupational Therapy Coordinator, Texas Board of Occupational Therapy Examiners, 1801 Congress Ave Ste 10.900, Austin, Texas 78701 or to lea@ptot.texas.gov within 30 days following the publication of this 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.

Summary

What follows is a summary of the proposed amendments. Refer to the full proposal for further information and the text of the changes.

The proposed amendments concern the following changes:

The amendments to §361.1 concern cleanups, including to replace an outdated reference.

The amendments to §364.1, §364.2, §364.3, §364.4, and §364.5 revise the sections, including to cleanup and clarify the sections, make changes to enhance the alignment of the sections with the Board’s new licensing system, revise requirements, in general, including to clarify requirements and align the initial licensing application process with other board application processes, and amend the sections with regard to House Bill 5629 and Senate Bill 1818 of the 89^th Regular Legislative Session and the changes effective September 1, 2025, that are made by such to Texas Occupations Code Chapter 55, including with regard to fee waivers and alternative licensing and expedited services for certain military service members, military veterans, and military spouses and the recognition of an out-of-state license of a military service member and military spouse.

The amendments to §369.1 cleanup and clarify the section and make changes to enhance the alignment of the section with the Board’s new licensing system.

The amendments to §370.1, §370.2, and §370.3 revise the sections, including to cleanup and clarify the sections and amend the sections with regard to House Bill 5629 and Senate Bill 1818 of the 89^th Regular Legislative Session and the changes effective September 1, 2025, that are made by such to Texas Occupations Code Chapter 55, including with regard to fee waivers and expedited services for certain military service members, military veterans, and military spouses.

The amendments to §371.1 and §371.2 cleanup and clarify the sections and make changes to enhance the alignment of the sections with the agency’s new licensing system and support a more efficient licensing process.

The amendments to §374.1, and §374.2 will revise the sections, including to add items concerning reporting certain information to the Board and clarify and cleanup related items concerning detrimental practice.

The amendments to §375.1 clarify and cleanup the section and remove unnecessary provisions.

Traduccion al español (por Google Traductor)

Las enmiendas propuestas se refieren a los siguientes cambios:

Las enmiendas al artículo §361.1 se refieren a las limpiezas, incluyendo la sustitución de una referencia obsoleta.

Las enmiendas a los §364.1, §364.2, §364.3, §364.4 y §364.5 revisan las secciones, incluyendo su depuración y aclaración, introducen cambios para mejorar su alineación con el nuevo sistema de licencias de la Junta, revisan los requisitos, en general, incluyendo su aclaración y alinean el proceso inicial de solicitud de licencia con otros procesos de solicitud de la junta, y enmiendan las secciones con respecto al Proyecto de Ley de la Cámara de Representantes 5629 y al Proyecto de Ley del Senado 1818 de la 89.ª Sesión Legislativa Ordinaria, y los cambios efectivos a partir del 1 de septiembre de 2025 que estos realizan al Capítulo 55 del Código de Ocupaciones de Texas, incluyendo los relacionados con la exención de tarifas, licencias alternativas y servicios acelerados para ciertos militares, veteranos militares y cónyuges de militares, y el reconocimiento de una licencia de otro estado para un militar y su cónyuge.

Las enmiendas al §369.1 clarifican y perfeccionan la sección e introducen cambios para alinearla mejor con el nuevo sistema de licencias de la Junta.

Las enmiendas a los §370.1, §370.2 y §370.3 revisan las secciones, incluyendo la clarificación y enmiendas con respecto al Proyecto de Ley de la Cámara de Representantes 5629 y el Proyecto de Ley del Senado 1818 de la 89.ª Sesión Legislativa Ordinaria, y los cambios, vigentes a partir del 1 de septiembre de 2025, que estos realizan al Capítulo 55 del Código de Ocupaciones de Texas, incluyendo las exenciones de tarifas y los servicios acelerados para ciertos militares, veteranos militares y cónyuges de militares.

Las enmiendas a los §371.1 y §371.2 clarifican y perfeccionan las secciones e introducen cambios para alinearlas mejor con el nuevo sistema de licencias de la agencia y promover un proceso de licencias más eficiente.

Las enmiendas a los §374.1 y §374.2 revisarán las secciones, incluyendo la adición de puntos relativos a la notificación de cierta información a la Junta, así como la aclaración y corrección de puntos relacionados con prácticas perjudiciales.

Las enmiendas al §375.1 aclaran y corrigen la sección y eliminan disposiciones innecesarias.