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 list of candidates running for TMA office.

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

TexMed Conference

The next sessions of the TMA House of Delegates will be held at TexMed 2020 in Fort Worth on Friday-Saturday, May 1-2, 2020.  Registration for the conference will open in December.

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

Local Meetings - Resolutions, Review Teams, Action Items  

See pdf version of the below meeting schedule as well as parking information.

Orientation and First Business meeting

On Monday evening, February 17, 2020, we will hold a brief orientation meeting so our newer delegation members can become more familiar with the processes. Our full delegation will then meet to discuss the resolutions submitted by our local members.

For guidance on writing a resolution, please refer to TMA's resolution process and FAQs that includes a sample resolution. Review TMA's current policies index to see if TMA already has policy on the proposed subject. Include any relevant existing TMA policy with the resolution. If the resolution asks that it also be submitted to the AMA House of Delegates for consideration, please also include any relevant existing AMA policy.

The deadline to submit resolutions is Sunday, February 9. Email them to HCMS staff VP doug_abel@hcms.org and copy alison_rutland@hcms.org

The resolutions that are accepted by our delegation are then submitted by staff to TMA. These resolutions will be included in the TMA Handbook for delegation members and considered during the TMA House of Delegates sessions at TexMed.

Review Teams and Final Business meetings

On Monday evening, April 20, 2020, our Delegation will meet for a final time to prepare for the conference.

Our four local Review Teams will 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 makes a recommendation on each item from the team's assigned section whether our delegation should support, disapprove, or recommend amendment or referral at the TMA Reference Committee meetings during TexMed.

Immediately following the Review Teams meetings, the Chairs of the four Review Teams will present to our delegation the teams' recommendations. The delegation takes into consideration the recommendations and decides how, as a delegation, it wishes to respond to each item presented. Our delegation will also review the list of candidates running for TMA elected offices.

TMA House of Delegates Sessions - TexMed 2020

The TMA Handbook items to be considered at the May 2020 House of Delegates sessions will be posted on the TMA House page around early April.

On Friday morning, May 1, 2020, the House of Delegates will convene for the Opening Session with announcements, candidate nominating speeches, acceptance of the Handbook as the business of the House, and more. Mid-morning, the House then adjourns 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 Reference Committee meetings generally end by Noon. 

Following these open hearings, those members who are appointed by the TMA Speaker of the House to serve on a Reference Committee panel enter 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, TMA will post the four Reference Committee Reports on the TMA House page, so all members can review the Reference Committees' recommendations prior to the Saturday morning Breakfast Caucus meetings.

Early Saturday morning, May 2, 2020, at the Breakfast Caucus meetings, the Harris Caucus (HCMS Delegation) will consider 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 will discuss the candidates running for TMA office.

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

On this final day of the session, the House adjourns early afternoon.

Past TMA Session

At TexMed 2019, our delegation put forward several resolutions. For all 2019 House activities, see TMA's 2019 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.