HCMS Delegation to the TMA House of Delegates

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

2021 TMA House of Delegates sessions held virtually April 29 and May 14-15, 2021.

Due to the COVID-19 pandemic, the 2021 Texas Medical Association (TMA) House of Delegates events and sessions were held virtually.

The TMA House elected several HCMS members to TMA office. The House re-elected Dr. Keith Bourgeois and elected Dr. Lisa Ehrlich to the TMA Board of Trustees. The House also re-elected Drs. Diana Fite, Elizabeth Torres, and Sherif Zaafran to the Texas Delegation of the AMA House of Delegates.

See the 2021 Summary of Actions for all the many business items considered by the 2021 House. The 2021 Audit Trail includes the items the House voted to refer for study or action.

The next sessions of the TMA House of Delegates will be held during TexMed 2022 in Houston at the Hilton Americas on April 29-30, 2022.

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 April or May and rotates among the large cities around the state. 

Several weeks prior to the House annual sessions, TMA posts on the House of Delegates page the action reports and resolutions that will be considered during TexMed, as well as informational reports and the list of candidates running for TMA office.

For more information, please see below. Also refer to How the House of Delegates Functions and the House of Delegates Guide.

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.

Each year, our delegation holds two or three local evening business meetings prior to the TMA House annual sessions. 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 - Resolutions, Review Teams, Action Items

Orientation and First Business meeting

On Monday evening, Feb 8, 2021, we held a brief virtual orientation meeting so our new delegation members could become more familiar with the processes. Our full delegation then met virtually to discuss the resolutions submitted by our local members.

The resolutions that were accepted by our delegation were submitted by staff to TMA and were considered by the TMA House of Delegates during the House sessions in May 2021. The 2020 resolutions that were tabled until this year also were considered during the 2021 House sessions.

Review Teams and Business meetings

On Monday evening, April 5, 2021, our four local Review Teams met virtually to consider from the TMA Handbook the action reports (submitted by TMA boards, councils, committees) and resolutions (submitted by other counties, individuals, 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.

On Monday evening, April 12, 2021, the Chairs of our four Review Teams presented (virtually) to our delegation their teams' recommendations. The delegation took into consideration the recommendations and decided how, as a delegation, it would respond to each item presented. Our delegation also briefly reviewed the list of candidates running for TMA elected offices.

Our four Review Teams correspond to TMA's four Reference Committees. They are:

Financial and Organizational Affairs - considers TMA finances, membership, representation, legal issues, and federation relationships.

Medical Education and Health Care Quality - considers undergraduate, graduate and continuing education; physician workforce; and quality programs.

Science and Public Health - considers core public health functions; environmental health; child and adolescent health; injury prevention; addictive and infectious diseases; regulatory issues; biomedical research; and preventive medicine.

Socioeconomics - considers health care payment plans; Medicare and Medicaid; reimbursement; and legislative and regulatory issues.

On Wednesday evening, May 12, 2021, our delegation met virtually to consider the TMA Reference Committees' final reports and discussed how our delegation would respond during the House sessions.

TMA House of Delegates Sessions

See the 2021 Summary of Actions for a list of all the business items considered by the 2021 House. The 2021 Audit Trail includes the items the House voted to refer for study or action. See the TMA House page for additional information.

The next sessions of the TMA House of Delegates will be held during TexMed 2022 in Houston at the Hilton Americas on April 29-30, 2022.

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, alison_rutland@hcms.org; or Doug Abel, ext. 328, doug_abel@hcms.org.