Texas 2019 - 86th Regular

Texas Senate Bill SB2438

Caption

Relating to the authority of certain advanced practice registered nurses.

Impact

By expanding the scope of practice for APRNs, this bill is anticipated to improve healthcare accessibility and efficiency, particularly in underserved areas. Supporters argue that this measure is essential in addressing physician shortages and streamlining healthcare delivery. It aims to empower APRNs to serve as primary care providers, which could lead to better health outcomes for patients, particularly in remote areas where healthcare facilities are scarce. Furthermore, SB2438 seeks to mitigate operational bottlenecks in the healthcare system by reducing reliance on physician oversight for routine practices.

Summary

SB2438 proposes to enhance the authority and autonomy of advanced practice registered nurses (APRNs) in Texas, allowing them greater freedom in prescribing and managing patient care without the obligatory supervision of a physician. This bill aims to enable APRNs to operate with a level of independence that recognizes their training and expertise, particularly in scenarios where physician resources may be limited, such as in rural communities. The legislation outlines provisions for APRNs to directly prescribe a broader range of pharmaceuticals, including controlled substances, under certain conditions and settings that ensure patient safety.

Contention

Despite its potential benefits, SB2438 faces opposition from certain physician groups who express concerns about patient safety and the quality of care. Critics argue that although APRNs are highly trained, they may not possess the same level of education as physicians, particularly in complex healthcare scenarios. There are also worries about potential over-prescribing and the adequacy of APRN training in pharmacology. Consequently, stakeholders advocate for a balanced approach that maintains a collaborative model of care, ensuring that APRNs and physicians can work together to deliver optimal patient outcomes.

Companion Bills

TX HB1792

Similar To Relating to the authority of certain advanced practice registered nurses.

Previously Filed As

TX HB4071

Relating to the licensing and regulation of advanced practice registered nurses.

TX SB1700

Relating to the licensing and authority of advanced practice registered nurses.

TX HB343

Relating to the prescriptive authority of certain psychologists; authorizing a fee.

TX HB1190

Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.

TX HB4404

Relating to the Advanced Practice Registered Nurse Compact.

TX HB4693

Relating to entities that provide services to rural Texans and in rural counties.

TX HB3230

Relating to the prescribing or ordering of a controlled substance or dangerous drug or device by an advanced practice registered nurse or physician assistant under a prescriptive authority agreement.

TX HB3567

Relating to requirements for the renewal of a physician's registration permit and the delegation by a physician of certain medical acts.

TX HB3227

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.

TX HB3229

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.

Similar Bills

TX HB1885

Relating to the scope of practice of and the prescribing and ordering authority of advanced practice registered nurses.

TX SB751

Relating to the scope of practice of and the prescribing and ordering authority of advanced practice registered nurses.

TX SB681

Relating to the licensing and authority of advanced practice registered nurses.

TX HB1415

Relating to the licensing and authority of advanced practice registered nurses.

TX HB1756

Relating to the licensing and authority of advanced practice registered nurses.

TX SB915

Relating to the licensing and authority of advanced practice registered nurses.

TX HB2029

Relating to the licensing and authority of advanced practice registered nurses.

TX SB1700

Relating to the licensing and authority of advanced practice registered nurses.