HCMS Delegation to the TMA House of Delegates

TMA House of Delegates

The Texas Medical Association (TMA) House of Delegates is the legislative and policy making body for the association. It is made up of over 400 elected members who serve as delegates, alternate delegates or ex officio members.

The TMA House is also responsible for electing the President-elect, members of the Board of Trustees, Speaker and Vice Speaker of the House, members of the Texas Delegation to the American Medical Association, and others.

The House meets annually Friday-Saturday mornings during TexMed, TMA’s educational showcase and expo, which is usually held in May and rotates among the large cities around the state.

Several weeks prior to the annual session, TMA posts on the House of Delegates (HOD) page the action reports and resolutions that will be considered during TexMed, informational reports, and the candidates running for TMA office.

For more info, please refer to TMA’s House of Delegates Guide and How the House Functions.

TexMed 2019
The next session of the TMA House of Delegates will be held during TexMed 2019 on Friday-Saturday, May 17-18 in Dallas at the Hilton Anatole. Mark your calendars!  


HCMS Delegation

Serving on the Harris (HCMS) Delegation to the TMA House of Delegates carries with it the responsibility of representing the physicians of Harris County and provides an opportunity to influence the policies of organized medicine. For more on the Responsibilities of a 2019 Delegation Member.

Each year, our delegation holds two local evening business meetings prior to the TMA House annual session. All delegation members are expected to attend these evening business meetings and encouraged to participate in the discussions.

We also hold a brief Orientation meeting just before our first business meeting, so our newer delegation members can learn more about their role and the workings of the delegation and House of Delegates.

Local meetings are held at the John P. McGovern Building (The Health Museum), 1515 Hermann Dr, Houston 77004.


Local Meetings - Resolutions, Review Teams, Action Items

First Business meeting
Our Delegation will hold its first business meeting on Monday evening, February 25, beginning at 6:45 pm to discuss resolutions that have been submitted by our local members. (For our newer delegation members, a brief Orientation will be held that evening beginning at 6 pm.)

The deadline to submit resolutions to HCMS is Sunday, February 17, for them to be considered at our first business meeting. Resolutions should be emailed to HCMS staff, Doug Abel at doug_abel@hcms.org, and copied to Alison Rutland at alison_rutland@hcms.org. 

The resolutions that are accepted by our delegation are submitted by HCMS staff to TMA House of Delegates staff, as coming from our delegation.

These resolutions are then included in the TMA Handbook for Delegates, along with the resolutions submitted by other county delegations, individual House members, and TMA sections.

See the TMA resolution process for information, FAQs and guidance on how to write a resolution.

Review Teams and Final Business meetings
Our delegation will meet for a final time on Wednesday evening, May 8 to prepare for the conference.

Our local Review Teams meet beginning at 5:45 pm just before our final business meeting to consider from the TMA Handbook the action reports (submitted by TMA councils and committees) and the resolutions (submitted by other counties, individuals and TMA sections).

Each Review Team makes a recommendation on each item from the team's assigned section whether our delegation should support, disapprove, or recommend amendment or referral. All delegation members are encouraged to join a team and participate in the discussion.

Note: Our Review Teams correspond to the four TMA Reference Committees: Financial & Organizational Affairs;  Medical Education & Health Care Quality;  Science & Public Health;  and Socioeconomics.

Immediately following the Review Teams meetings, our delegation then meets beginning at 6:45 pm for its final business meeting. The Chair of each Review Team presents to our delegation his/her team's recommendations. Our delegation also discusses the candidates running for TMA elected offices.   

TMA House of Delegates sessions - TexMed 2019 - Hilton Anatole, Dallas

On Friday morning, the Opening Session of the House of Delegates begins with announcements, candidate nominating speeches, acceptance of the Handbook as the business of the House, etc. Mid-morning, the House then adjourns for the TMA Reference Committee meetings.

The Friday morning Reference Committee meetings are open hearings where any member can listen to and provide testimony on the Handbook items. Following these open hearings, those members who have been appointed by the TMA Speaker of the House to serve on a TMA Reference Committee then enter into closed session to prepare their recommendations and write reports for the House.

Unlike 'regular' TMA councils or committees, the members who are appointed to a TMA Reference Committee serve for only that one session. 

Early Saturday morning, at the Breakfast Caucus meetings, the Harris Caucus (HCMS Delegation) considers the Reference Committee reports to determine whether our delegation should approve, advise amendment or referral, or disapprove the recommendations on each item of business. We also discuss the candidates running for TMA office.

Following the Saturday morning Breakfast Caucus, members reconvene for the Regular Business Session of the House of Delegates. The House votes on the Reference Committee recommendations and holds elections for TMA officers.

On that final day of the session, the House usually adjourns around Noon.  


Update on what happened at TexMed 2018

The following HCMS members were elected or re-elected to TMA office this past May:

• Arlo F. Weltge, MD - Vice Speaker of the House
• Keith A. Bourgeois, MD - Board of Trustees
• Lindsay K. Botsford, MD - Board of Trustees Young Physician seat
• William H. Fleming III, MD, and Kenneth L. Mattox, MD - Delegates to the AMA
• William S. Gilmer, MD, Elizabeth Torres, MD, and Arlo F. Weltge, MD - Alternate Delegates to the AMA

See also the status of the 2018 HCMS resolutions.

For other House actions, see TMA's Summary of HOD Actions-TexMed2018.

For all Transactions-TexMed2018 that occurred during the session.

For reference, all the reports, resolutions, candidates, and other items that were considered by the House can still be found on the House of Delegates (HOD) page.  


Previous TMA Session

For issues that were considered during the 2017 session, see the Summary of HOD Actions-TexMed2017 and the status of the 2017 HCMS resolutions (update May 2018). 


Current TMA and AMA Policy

• To view existing TMA policy, please see the TMA Current Policies Index.

• To view existing AMA policy, go to the AMA Policyfinder.

• The TMA Audit Trail Library provides a compilation of audit trails of actions taken by the House going back to 2007.

• For TMA's resolution process and FAQs.

• For the TMA Board of Councilors current opinions.

• For the AMA Code of Medical Ethics.

 For more information 

If you have questions, would like more info, or have an interest in the Delegation, please contact HCMS Delegation staff at 713-524-4267: Alison Rutland, ext. 219, or Doug Abel, ext. 328.