September 20, 2019 - 9:00am

Austin-Health and Human Services Commission, MHMR Center
909 W. 45th Street, Conference Room 240
Austin, TX 78751

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Texas Penal Code Section 46.035(c) states: "A license holder commits an offense if the license holder intentionally, knowingly, or recklessly carries a handgun under the authority of Subchapter H, Chapter 411, Texas Government Code, regardless of whether the handgun is concealed or carried in a shoulder or belt holster, in the room or rooms where a meeting of a governmental entity is held and if the meeting is an open meeting subject to Chapter 551, Texas Government Code, and the entity provided notice as required by that chapter."

Please note that this meeting is, in the opinion of counsel representing the Health and Human Services Commission, a meeting subject to Chapter 551, Texas Government Code, and the Health and the Human Services Commission is providing notice of this meeting as required by Chapter 551. In addition, please note that the written communication required by Texas Penal Code Sections 30.06 and 30.07, prohibiting both concealed and open carry of handguns by Texas Government Code Chapter 411 licensees, will be posted at the entrances to this meeting.

TRAB’s Medical Committee will convene as posted to hear, consider, discuss and take formal action, as applicable and necessary, on the following agenda items:

  1. Call to Order
  2. Introduction of guests
  3. Review and, as needed, discuss and take possible action concerning amendment and/or approval of the minutes of the June 28, 2019 TRAB Medical Committee meeting
  4. Routine and Continuing Business:
    1. 2016 Advisory statement for a Better Understanding of Radiation for TRAB website. Ask Centers for Disease Control permission to add United States units to International System of Units (SI units). (Emery)
    2. Eye Dose Limits
      1. Continued monitoring of Conference of Radiation Control Program Directors, Inc. (CRCPD) program survey on leaded glass eye wear and dose reduction (Bruedigan)
      2. Public reference information on radiation effects to the eye and methods to reduce eye dose (Emery)
    3. Update on unannounced inspections at x-ray facilities (McLarty/Bruedigan)
    4. Update on DSHS and Medical Imaging Technical Alliance (MITA) Guidance Document on Fulfillment of the Required Equipment Performance Evaluation (EPE)
  5. New Business
    1. NRC staff draft proposals for tailored training and experience requirements for a limited Authorized user (Metter)
    2. DSHS Equipment Performance Evaluation (EPE) rules (McLarty)
    3. Updated Regulatory Guide 4.3 Guide (Bruedigan)
  6. Public Comments
  7. Summarize Committee meeting and recommendations for Committee Report and proposed action items for TRAB.
  8. Identification of Agenda Items for next Medical Committee Meeting
  9. Adjourn

Chair: Darlene Metter, M.D.,;
Vice Chair: Mark Silberman, M.D.,;
Department of State Health Services, Radiation Control Program, Brian Vamvakias: telephone (512) 834-6655: or email

At the discretion of the Chair, agenda items may be taken in any order and public comment may be permitted in connection with any agenda item. An individual who wishes to speak on an issue that falls under the Board’s jurisdiction shall be heard during the Public Comment agenda item.

Persons with disabilities who plan to attend this meeting and require auxiliary aids or services are asked to contact Liz Speights, Department of State Health Services, at 512-231-5605 or, at least 72 hours prior to the meeting so that appropriate arrangements may be made.