Use this checklist to prepare for the Texas SB 25 nutrition and metabolic health CE requirement ahead of your next physician license renewal. Each step walks you through what is required, what to complete, and how to stay audit-ready.
Jointly-Accredited Nutrition and Metabolic Health CE — 1.0 AMA PRA Category 1 Credit(s)™
Before You Begin
- ✅ Confirm your renewal date. Texas physician licenses renew biennially through the Texas Medical Board (TMB). Log in to your TMB account to verify your next renewal date and whether it falls on or after January 1, 2027.
- ✅ Determine if SB 25 applies to your next renewal. The nutrition CE requirement takes effect for renewals on or after January 1, 2027. If your renewal falls before that date, SB 25 does not apply to your current cycle — but completing the course now still counts toward your CME total.
- ✅ Know your total CME requirement. Texas physicians must complete 48 hours of CME per 2-year renewal period, including at least 24 hours of formal CME. The nutrition CE counts toward that total — it does not add extra hours.
Step 1: Complete Your Nutrition CE
- ✅ Enroll in an ACCME-accredited nutrition and metabolic health course. The course must provide AMA PRA Category 1 Credit(s)™ to count toward your Texas CME requirement.
- ✅ Complete nutrition and metabolic health CE. This satisfies the SB 25 mandate for your renewal cycle.
- ✅ Pass the course assessment. You must demonstrate understanding of the material to earn your CE credit.
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Step 2: Download and Store Your Certificate
- ✅ Download your certificate immediately upon completion. With Renew Now CE, your certificate is available for instant download — no waiting period.
- ✅ Save a digital copy in a dedicated folder for your CME records.
- ✅ Print a backup copy for your physical files. TMB may audit licensees to confirm compliance, so having your certificate readily accessible is essential.
Step 3: Track Your Remaining CME Hours
- ✅ Log this hour toward your 48-hour total. Keep a running count of your completed CME hours for the current renewal cycle.
- ✅ Verify formal vs. informal CME split. At least 24 of your 48 hours must be formal CME. This on-demand course qualifies as formal CME.
- ✅ Complete all 48 hours before your renewal deadline. Do not wait until the last month — plan to finish at least 30 days before your renewal date.
Step 4: Renew Your License
- ✅ Attest to completion during renewal. When renewing online through TMB, you will attest that you have completed all required CME hours, including nutrition and metabolic health training under SB 25.
- ✅ Do not submit your certificate unless requested. Routine renewal does not require certificate submission, but TMB may request documentation during an audit.
- ✅ Retain your certificate for the full renewal cycle. Keep all CME certificates on file until at least your next renewal is complete.
Quick Reference Summary
- Requirement: Nutrition and metabolic health CE as part of renewal
- Law: Texas Senate Bill 25
- Effective: Renewals on or after January 1, 2027
- Credit Type: AMA PRA Category 1 Credit(s)™
- Total CME Required: 48 hours per 2-year cycle (nutrition CE counts toward total)
- Certificate Submission: Attestation only; retain for audit
- Licensing Board: Texas Medical Board (TMB)
Jointly-Accredited Nutrition and Metabolic Health CE — 1.0 AMA PRA Category 1 Credit(s)™
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Jointly-Accredited Nutrition and Metabolic Health CE — 1.0 AMA PRA Category 1 Credit(s)™