Relating to the licensing and regulation of advanced practice registered nurses and the payment of independent advanced practice registered nurses in certain government employee health plans.
Impact
The implementation of HB 3794 is expected to have significant implications for state laws governing health professionals. By granting APRNs additional autonomy, it confronts existing regulatory barriers while also aligning their practice more closely with national standards. This change is anticipated to expand healthcare access, particularly in rural or underserved regions where physician shortages often occur. As APRNs are empowered to manage patient care independently, the bill also facilitates better patient outcomes by allowing for more timely and efficient healthcare delivery.
Summary
House Bill 3794 focuses on the licensing and regulation of advanced practice registered nurses (APRNs) within Texas. It outlines specific provisions regarding their capacity to operate as independent practitioners and the authority to prescribe various medications, including controlled substances. The bill aims to enhance the role of APRNs in the healthcare system, particularly as essential providers within government employee health plans. By streamlining regulations around their practice, the legislation intends to improve healthcare accessibility and efficiency for patients, especially in underserved areas.
Contention
Despite the potential benefits, the bill has not been without contention. Some medical associations have raised concerns about the adequacy of training and oversight for APRNs compared to physicians. Critics argue that expanding prescriptive authority without stringent oversight might compromise patient safety. The legislation attempts to address these concerns by establishing guidelines for APRN practice that include clear education and certification requirements, and ensuring patient safety measures are maintained. However, debates continue regarding the balance of autonomy for APRNs and the necessary oversight intended to protect public health.
Texas Constitutional Statutes Affected
Health And Safety Code
Chapter 773. Emergency Medical Services
Section: 0145
Human Resources Code
Chapter 32. Medical Assistance Program
Section: 024
Section: 03141
Chapter 42. Regulation Of Certain Facilities, Homes, And Agencies That Provide Child-care Services
Section: 067
Insurance Code
Chapter 843. Health Maintenance Organizations
Section: 312
Chapter 1301. Preferred Provider Benefit Plans
Section: New Section
Chapter 1452. Physician And Provider Credentials
Section: 051
Occupations Code
Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
Identical
Relating to the licensing and regulation of advanced practice registered nurses and the payment of independent advanced practice registered nurses in certain government employee health plans.
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 licensing and regulation of advanced practice registered nurses and the payment of independent advanced practice registered nurses in certain government employee health plans.
Relating to the licensing and regulation of advanced practice registered nurses and the number of advanced practice registered nurses and physician assistants with whom a physician may enter into a prescriptive authority agreement.