Texas House Bill HB3229

Texas 2023 - 88th Regular

• Filed: 3/2/23

Caption

Relating to the authority of a physician to supervise or delegate the prescribing or ordering of a drug or device to a physician assistant or advanced practice registered nurse.

Impact

The legislation aims to clarify the standards under which physicians can delegate prescribing authority, thereby ensuring that patients receive care from appropriately supervised and trained providers. With the specific requirement for additional practice experience in specialty areas, the bill serves to enhance patient safety and assurance in the context of healthcare services delivered by non-physician practitioners.

Summary

House Bill 3229 seeks to amend the existing regulations concerning the authority of physicians to supervise or delegate the prescribing of drugs or devices to physician assistants and advanced practice registered nurses. The bill specifies that a physician may not supervise or delegate such authority if the physician assistant or advanced practice registered nurse practices in a medical specialty that lies outside the scope of the physician's residency training or primary medical practice. To make an exception, the physician would need to have a minimum of five years of previous practice experience in that specialty.

Sentiment

Discussions surrounding HB 3229 were generally supportive among stakeholders interested in maintaining high standards for patient care. Advocates of the bill expressed optimism that the added supervision requirements would strengthen healthcare delivery. However, some opposition may arise from groups representing physician assistants and advanced practice nurses who might view the new restrictions as unnecessary limitations on their scope of practice.

Contention

One of the notable points of contention relates to the balance of power between physicians and non-physician healthcare providers. Proponents argue that ensuring physicians have significant experience in the relevant specialty before supervising or delegating prescribing authority is essential for patient safety. Conversely, opponents may contend that such requirements could hinder the ability of physician assistants and advanced practice registered nurses to fill vital roles in underserved areas where physician resources are limited.