Texas now requires every physician assistant to complete 1 hour of continuing medical education on nutrition and metabolic health. The Texas Medical Board (TMB) adopted the rule on August 14, 2026. If you hold a Texas PA license, here is what it means for your next renewal. The course that fits is our Clinical Nutrition and Metabolic Health course, 1 hour, online, $30.
What is the Texas PA nutrition CME requirement?
Senate Bill 25 (2025) told the TMB to require nutrition CME for the professionals it licenses. For physician assistants, the Board amended 22 TAC §183.16 to add 1 hour of CME on nutrition and metabolic health to the biennial requirement, under Occupations Code Section 204.1563. The content follows the guidelines of the Texas Nutrition Advisory Committee.
Three details matter:
It applies to all PAs. There is no practice-area exception and no opt-out for specialists.
It starts with licenses expiring on or after May 30, 2027. If your registration is due before that date, the hour is not yet owed for that renewal.
It is 1 hour. The Board set the number at 1 hour added to the biennial CME requirement, not a multi-hour block.
Always confirm your own due date on your TMB license record. PA registrations run on an individual anniversary date, so there is no single statewide deadline.
How does the nutrition hour fit into the 40 credits?
Texas PAs need 40 CME credits every 24 months. At least 20 must be formal Category I credit from an AAPA-approved sponsor, and the rest can be Category II. The Texas Physician Assistant CME Package covers all 40. See the full breakdown on our Texas physician assistant CE requirements page.
The Board has not said whether the nutrition hour counts inside those 40 credits or sits on top of them. Until it does, complete the hour with an accredited provider, keep the certificate, and count it toward your 40 wherever the Board allows. The rule does say that both formal and informal courses can count, as long as an accredited provider designates the course.
How to complete your Texas PA nutrition CME
Our Clinical Nutrition and Metabolic Health: Evidence-Based Assessment, Counseling, and Referral course is the course for this requirement, and it counts for every Texas professional. It covers evidence-based nutrition assessment, metabolic health, patient counseling and when to refer. It is 1 hour, $30, fully online and on demand, with an instant certificate.
Need your other 39 hours too? The Texas Physician Assistant CME Package bundles 40 AMA PRA Category 1 credits with the Texas-specific courses, including the nutrition course, so you buy once and finish everything in one place.
Accredited and supported. AchieveCE courses come from an accredited provider, and our support center and live chat are there if you have questions about your requirements or your certificate.
What else does a Texas PA have to complete?
The nutrition hour is one line on a longer list. Depending on your practice, a Texas PA may also owe:
Human trafficking prevention. An HHSC-approved human trafficking course is required before each renewal. Our Texas human trafficking course is built for this requirement. Background: Texas human trafficking CE for healthcare professionals.
Opioid and pain management. 2 hours, for PAs whose prescriptive authority agreement allows opioid prescribing or who have access to the Prescription Monitoring Program. See Prescribing Opioids and Benzodiazepines and Responsible Prescribing: Safeguarding Against Drug Diversion in Texas.
Forensic evidence collection. 2 hours, for PAs who practice in an emergency room. Check the TMB PA page for the first renewal date that applies to you.
DEA MATE Act training. A one-time 8 hours on opioid and substance use disorders, if you hold a DEA registration. This is a federal requirement, not a Texas one. Our DEA MATE 8-Hour Training covers it.
Who else in Texas has a nutrition requirement?
Physicians have the same 1-hour rule: see Texas nutrition CME for physicians. Nurses are covered by a separate statute section, and the Board of Nursing has not set the hours yet: see Texas nutrition CE for nurses and the Texas RN, Texas LVN and Texas APRN CE requirements. The same 1-hour course works for every Texas professional.
Reporting your credits to CE Broker
Since September 1, 2026, the TMB requires licensees to track CME in CE Broker. A renewal the Board cannot verify there cannot be processed. AchieveCE reports your completed courses to CE Broker for you, within 24 hours of completion. For the full steps, read our guide to CE Broker for Texas Medical Board licensees.
Frequently asked questions
How many nutrition CE hours do Texas physician assistants need?
1 hour of CME on nutrition and metabolic health, added to the biennial requirement by the Texas Medical Board under 22 TAC §183.16.
When does the Texas PA nutrition requirement start?
It applies to PA licenses expiring on or after May 30, 2027. Check your own registration due date on your TMB license record.
Does every Texas PA need the nutrition hour?
Yes. The Board applies the 1-hour requirement to all physician assistants, regardless of specialty.
Does AchieveCE report my nutrition CME to CE Broker?
Yes. AchieveCE reports completed courses to CE Broker automatically within 24 hours of completion.
Luke Porter
Founder
