1. (a) An applicant must provide proof of passage of the following:

   1. (1) The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) examination, consisting of the following:

      1. (A) if taken before June 1, 2004: the Comprehensive Written Exam (CWE), the Clean Needle Technique Portion (CNTP), the Practical Examination of Point Location Skills (PEPLS), and the Chinese Herbology Exam; or
      2. (B) if taken on or after June 1, 2004: the NCCAOM Foundation of Oriental Medicine Module, Acupuncture Module, Point Location Module, the Chinese Herbology Module, and the Biomedicine Module; and
   2. (2) CCAOM (Council of Colleges of Acupuncture and Oriental Medicine) Clean Needle Technique (CNT) course and practical examination.
2. (b) All applicants must take and pass, within six attempts, each component of the full National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) examination.

3. (c) English proficiency is demonstrated by:

   1. (1) graduation from an of approved school of acupuncture located in the United States or Canada; or

   2. (2) passage of one of the following recognized tests:

      1. (A) English language version of NCCAOM examination; or

      2. (B) Passing score of 70% or better on each section of any of the following tests:

         1. (i) Test of English as a Foreign Language (TOEFL);
         2. (ii) Test of English for International Communication (TOEIC);
         3. (iii) Occupational English Test (OET); or
         4. (iv) other examination of English competency considered acceptable to the board.

Source Note:The provisions of this §184.13 adopted to be effective January 9, 2025, 50 TexReg 384.