Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.
Impact
If enacted, HB 1524 will significantly impact the Texas Occupations Code by allowing APRNs and PAs to prescribe Schedule II narcotics and other controlled substances under certain defined circumstances. Previously, such authority was primarily reserved for physicians, and this change aims to alleviate some of the workload on doctors while providing timely care to patients. This measure is especially relevant in rural areas where there may be a lack of sufficient physician availability. Therefore, proponents argue that the legislation stands to enhance healthcare delivery across Texas.
Summary
House Bill 1524 focuses on the regulations concerning the prescribing and ordering of Schedule II controlled substances by advanced practice registered nurses (APRNs) and physician assistants (PAs) in Texas. The bill seeks to amend existing laws to formalize the authority of these healthcare professionals to manage specific controlled substances, thereby expanding their scope of practice. The intention behind this bill is to address healthcare accessibility and efficiency in managing patient care, particularly in the context of pain management and treating chronic conditions.
Contention
Despite its supportive intentions, the bill has faced scrutiny from various stakeholders. Critics argue that expanding prescribing powers could lead to misuse and overprescription of powerful narcotics, potentially exacerbating the issues surrounding substance abuse and addiction. Concerns have specifically been voiced regarding the adequacy of training and oversight of APRNs and PAs to handle these responsibilities. There are also fears that such changes might not sufficiently safeguard against potential risks associated with prescribing high-risk medications.
Vote_summary
HB 1524 was unanimously passed in the House with 145 votes in favor and no opposition noted during the voting process on May 14, 2021. This overwhelming support suggests a strong consensus among legislators about the necessity of expanding prescribing capabilities for non-physician practitioners to improve healthcare effectiveness.
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.
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.
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.
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.