Can Anesthesiologist Assistants Practice in Texas?
Yes — CAAs practice in Texas under physician delegation.
CAAs practice in Texas under physician delegation authority rather than a formal state license. Hospital systems and anesthesiology practices determine whether to credential and hire CAAs. Licensure legislation was introduced in 2025 but did not pass before the session adjourned.
Where CAAs can practice nearby
CAAs can also practice in 2 of Texas's 4 neighboring states.
CAA Programs in Texas
4 campuses offer CAA master's training in Texas.
Case Western Reserve University — Austin
Austin, Texas
- Degree & Length
- Master of Science in Anesthesia (MSA) · 24 mo
- CASAA Deadline
- Dec 1, 2026
- Tuition
- $154,920
- Admissions Tests
- GRE or MCAT required (within 3 years, weighted equally): recommended GRE at or above 60th percentile Verbal/Quant with 4.0+ Analytical Writing, or MCAT 500+; Casper situational-judgment test also required.
Case Western Reserve University — Houston
Houston, Texas
- Degree & Length
- Master of Science in Anesthesia (MSA) · 24 mo
- CASAA Deadline
- Dec 1, 2026
- Tuition
- $154,920
- Admissions Tests
- GRE or MCAT required (within 3 years, weighted equally): recommended GRE at or above 60th percentile Verbal/Quant with 4.0+ Analytical Writing, or MCAT 500+; Casper situational-judgment test also required.
UTHealth Houston — Houston
Houston, Texas
- Degree & Length
- Master of Science in Anesthesia (MSA) · 28 mo
- CASAA Deadline
- Not yet posted
- Tuition
- Not published
- Admissions Tests
- MCAT preferred (minimum 498; 2025-26 matriculant average 508) or GRE (minimum 309), taken within 3 years of application; an MCAT above 505 waives the 7-year prerequisite time limit.
University of Mary Hardin-Baylor — Belton
Belton, Texas
- Degree & Length
- MS in Anesthesiologist Assistant (MSAA) · 28 mo
- CASAA Deadline
- Aug 1, 2026 (closed)
- Tuition
- $152,240
- Admissions Tests
- GRE or MCAT required; an MCAT score above 500 within 3 years waives the 7-year prerequisite time limit.
Need to compare required biology, chemistry, and physics coursework across programs?
Open Prerequisites Matrix →Supervision & Practice Authority in Texas
Supervision Requirements
CAAs work under the delegation and supervision of a physician anesthesiologist, who directs medical acts and retains ultimate clinical responsibility under Occupations Code ch. 157. Texas law does not specify a statutory supervisory ratio.
State Context & Regulatory Notes
Texas is a long-standing physician delegation state. While formal licensure bills passed committee in 2025, they did not reach a floor vote before the session adjourned. The Texas Legislature meets biennially and reconvenes in January 2027.
Statutory Summary
- Legal Authority
- Tex. Occ. Code ch. 157 (physician delegation authority)
- Effective
- —
- Practice Mechanism
- Physician delegation
Legislative Activity in Texas
2 bills on record (2 failed). Enacted and failed bills stay listed as history.
Licensing and regulation of anesthesiologist assistants; Texas Anesthesiologist Assistant Board under the Texas Medical Board
died — 89th Regular Session adjourned June 2, 2025
Last action: Reported favorably without amendment by House Public Health (9-0), May 12, 2025; no floor vote before sine die
Licensing and regulation of anesthesiologist assistants (companion to HB 5274)
died in committee — 89th Regular Session adjourned June 2, 2025
Last action: Referred to Senate Health & Human Services Mar 24, 2025; no further action