HCMS Delegation to the TMA House of Delegates

Engaged in developing the policies and electing the leaders of organized medicine.

TMA House of Delegates Makes Policy

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 and 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, as well as informational reports and the candidates running for TMA office.

For more information on what happens when the House meets, see below. For even more details, refer to the House of Delegates Guide and How the House of Delegates Functions.

TexMed Conference

The most recent sessions of the TMA House of Delegates were held at TexMed 2019 in Dallas on May 17-18, 2019.

The next sessions will be held at TexMed 2020 in Fort Worth on Friday-Saturday, May 1-2, 2020.

HCMS Delegation Information

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, see Responsibilities of a 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 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

Orientation and First Business meeting

On Feb. 25, 2019, a brief orientation meeting was held so our newer delegation members could become more familiar with the processes. Our Delegation then met to discuss the resolutions submitted by our local members.

The resolutions that were accepted by our delegation were then submitted to TMA. These resolutions were included in the TMA Handbook for Delegates and considered during the TMA House sessions at TexMed.

Review Teams and Final Business meetings

Our Delegation then met for a final time on May 8, 2019, to prepare for the conference.

Our four local Review Teams considered from the TMA Handbook the action reports (submitted by TMA boards, councils and committees) and resolutions (submitted by other counties, individuals and TMA sections). Each Review Team made a recommendation on each item from the team's assigned section whether our delegation should support, disapprove, or recommend amendment or referral, or monitor the discussion at the TMA Reference Committee meetings at TexMed.

Immediately following the Review Teams meetings, the Chairs of the four Review Teams presented to our delegation the teams' recommendations. The delegation took into consideration the recommendations and decided how, as a delegation, it wished to respond to each item presented. Our delegation also reviewed the list of candidates running for TMA elected offices.

TMA House of Delegates Sessions - TexMed 2019

The TMA Handbook items considered at the May 2019 House of Delegates sessions are still posted on the TMA HOD page for reference.

Several of these items were resolutions put forward by HCMS members. See the status of the HCMS resolutions following consideration by the TMA House.

Also, refer to TMA's Summary of House Actions for a complete description of all House activities at TexMed 2019. 

On Friday morning, May 17, 2019, the Opening Session of the House of Delegates began with announcements, candidate nominating speeches, acceptance of the Handbook as the business of the House, and more. Mid-morning, the House then adjourned for the TMA Reference Committee meetings.

The Friday morning Reference Committee meetings are open hearings where all members are welcome to listen to and provide testimony on the Handbook action items. These meetings are where much of the discussion and debate take place. Although the authors of the resolutions and the chairs of the HCMS review teams take the lead in these discussions, as they have been authorized to speak for our delegation. other members also may provide testimony, though "speaking as an individual." The Friday Reference Committee meetings generally end by Noon. 

Following these open hearings, those members who were appointed by the TMA Speaker of the House to serve on a Reference Committee panel entered into closed session to prepare their recommendations and write reports for the House. Unlike 'regular' TMA committees, those members who are appointed to a TMA Reference Committee serve for only that one session.

Late Friday evening, May 17, 2019, TMA posted the four Reference Committee Reports on the TMA HOD page, so all members could review the Reference Committees' recommendations prior to the Saturday morning Breakfast Caucus meetings.

Early Saturday morning, May 18, 2019, at the Breakfast Caucus meetings, the Harris Caucus (HCMS Delegation) considered the Reference Committee Reports to determine whether our delegation should approve, advise amendment or referral, or disapprove the recommendations on each item of business. Our delegation also discussed the candidates running for TMA office.

Following the Saturday morning Breakfast Caucus meetings, members then reconvened for the Regular Business Session of the House of Delegates. The House voted on the Reference Committee recommendations and held elections for TMA officers. HCMS members Dr. Diana Fite was elected as TMA President-elect, Dr. Arlo Weltge was elected as Speaker of the TMA House of Delegates, and Drs. Fite and Sherif Zaafran were re-elected to the Texas Delegation to the AMA.

On that final day of the session, the House adjourned early afternoon.

Past TMA Sessions

At TexMed 2018, held in San Antonio, our delegation put forward several resolutions. For all 2018 House activities, see TMA's 2018 Summary of House Actions.

Current TMA and AMA Policy


If you have questions or an interest in the Delegation, contact HCMS at 713-524-4267, Alison Rutland, ext. 219 or alison_rutland@hcms.org; or Doug Abel, ext. 328 or doug_abel@hcms.org.