(a) Forty-eight total CME credits are required, biennially, as follows:(1) Minimum of 24 formal credits of AMA/PRA Category 1 designated by:(A) the Accreditation Council for Continuing Medical Education;(B) a state medical society recognized by the Committee for Review and Recognition of the Accreditation Council for Continuing Medical Education;(C) the American Academy of Family Physicians;(D) the AOA Category 1-A;(E) the Texas Medical Association;(F) the board, but only as it applies to medical ethics and/or professional responsibility; or(G) a board-appointed physician performing a competency evaluation or practice monitoring of another physician, which may receive one (1) formal CME credit for each hour of time spent on these duties up to 12 hours.(2) As part of the 24 formal credits, the following are required:(A) a human trafficking prevention course, in accordance with §156.060 of the Act;(B) two credits in the topic of medical ethics and/or professional responsibility; and(C) two credits in accordance with §156.055 of the Act.(3) Informal CME credits may include:(A) informal self-study; or(B) attendance at hospital lectures, grand rounds, or case conferences.(b) Alternate proof of CME compliance is presumed if the physician:(1) meets the criteria set forth in §156.052 of the Act;(2) is currently in a residency/fellowship training; or(3) completed residency/fellowship training within six months prior to obtaining licensure.(c) CME Deficiencies and Carry Forward Procedures:(1) Any CME deficiency can be remedied within 30 days after registration renewal due.(2) A maximum of 48 total excess credits may be carried forward only to the next registration period; and(3) Required formal credits described in subsection (a)(2) of this section cannot be carried forward.(d) In accordance with §156.053 of the Act, exemptions from CME may be allowed upon a written request at least 30 days before renewal is due.(e) Voluntary Charity Care CME requirements are reduced to twelve informal CME credits per biennium.(f) In accordance with §323.0045 of the Health and Safety Code, recognized forensic examination CME must be:(1) a formal category 1 course; or(2) approved or recognized by the Texas Board of Nursing.