Texas House Bill HB3395

Texas 2017 - 85th Regular

Caption

Relating to the authority of advanced practice registered nurses practicing in certain areas.

Impact

The implementation of HB 3395 would alter existing state laws governing nursing practice and healthcare delivery. By formally recognizing APRNs as capable providers of independent care, this bill seeks to empower these practitioners to make crucial healthcare decisions without the oversight of a physician in specified areas. This strategy aligns with national trends of enhancing the role of nurse practitioners and is intended to foster greater healthcare access, especially in regions that struggle to attract and retain medical doctors.

Summary

House Bill 3395 aims to enhance the authority and autonomy of advanced practice registered nurses (APRNs) in Texas, particularly in areas designated as medically underserved. The bill allows APRNs to practice independently in counties where there are no primary care physicians and where populations face significant healthcare access challenges. This legislative change is significant as it seeks to address healthcare disparities in rural and underserved communities by expanding the scope of practice for qualified nurses.

Contention

While the bill has garnered support from nursing associations and advocates for enhanced healthcare access, it also raises concerns among some stakeholders regarding patient safety and the quality of care. Opponents, including certain physician groups, argue that APRNs may lack the extensive training necessary for independent practice, particularly regarding complex patient needs that require a physician's expertise. This ongoing debate highlights a broader discussion about the evolving roles within the healthcare delivery system and the balance between access and quality in medical care.