Texas 2025 - 89th Regular

Texas House Bill HB4539

Filed
3/12/25  
Out of House Committee
5/7/25  
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to the dispensing of certain drugs by physicians specializing in ophthalmology.

Impact

If enacted, HB 4539 will impact multiple sections of the Texas Occupations Code. It will redefine the scope of practice for ophthalmologists, particularly in how they handle and dispense certain medications. By enabling them to charge and receive reimbursement for drug dispensing without the need for a pharmacy license, the bill is expected to streamline patient care and reduce delays associated with obtaining necessary drugs post-examination or procedure.

Summary

House Bill 4539 seeks to amend existing Texas laws regarding the dispensing of certain ophthalmic drugs by physicians specializing in ophthalmology. The bill allows these physicians to dispense commercially sealed and packaged nonsystemic dangerous drugs, specifically in drop or ointment form, for various ophthalmic treatments following procedures or for emergencies. This initiative aims to improve patient care by enabling ophthalmologists to provide immediate access to necessary medications without requiring patients to visit a pharmacy.

Sentiment

The general sentiment surrounding HB 4539 appears to be supportive among medical professionals who see it as a way to enhance patient convenience and care. Many ophthalmologists and advocates for improved patient access believe that the bill addresses a critical gap in treatment immediacy. However, there may be concerns regarding patient safety, regulatory oversight, and the potential for misuse of the dispensing practice, particularly among those worried about the implications of dispensing dangerous drugs without a pharmacy setting.

Contention

Despite its promising aspects, HB 4539 may face contention from various stakeholders. Critics may argue that dispensing dangerous drugs in a non-pharmacy environment could lead to heightened risks of improper use or mismanagement of these medications. There might also be debates surrounding the adequacy of training and oversight for physicians undertaking this responsibility, raising questions about patient safety and the standards that will govern such practices.

Texas Constitutional Statutes Affected

Occupations Code

  • Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
    • Section: 002
    • Section: 002
    • Section: 002
    • Section: 002
  • Chapter 158. Authority Of Physician To Provide Certain Drugs And Supplies
    • Section: New Section
    • Section: New Section
    • Section: New Section
    • Section: New Section
  • Chapter 551. General Provisions
    • Section: 004
    • Section: 004
    • Section: 004
    • Section: 004
  • Chapter 563. Prescription Requirements; Delegation Of Administration And Provision Of Dangerous Drugs
    • Section: 051
    • Section: 051
    • Section: 051
    • Section: 051

Companion Bills

TX SB2013

Identical Relating to the dispensing of certain drugs by physicians specializing in ophthalmology.

Previously Filed As

TX SB160

Relating to the furnishing by pharmacists and dispensing by physicians of certain medications.

TX HB595

Relating to the dispensing of certain drugs by physicians.

TX HB1240

Relating to the authority of a physician to provide and dispense and to delegate authority to provide and dispense certain drugs.

TX HB2078

Relating to the authority of a physician to provide and dispense and to delegate authority to provide and dispense certain drugs.

TX SB860

Relating to the relationship between managed care plans and optometrists, therapeutic optometrists, and ophthalmologists.

TX HB2995

Relating to the prescribing of medical cannabis for medical use to certain veterans with combat-related injuries or medical conditions and the licensing of dispensing organizations under the Texas Compassionate Use Program.

TX SB127

Relating to the possession, use, cultivation, distribution, transportation, and delivery of medical cannabis for use by patients as the best available medical treatment, the licensing of medical cannabis dispensing organizations, and the registration of certain individuals; authorizing fees.

TX HB1200

Relating to authorizing the possession, use, cultivation, distribution, transportation, and delivery of medical cannabis for medical use by qualifying patients with certain debilitating medical conditions and the licensing of dispensing organizations and cannabis testing facilities; authorizing fees.

TX HB2079

Relating to the authority of pharmacists to order and furnish certain prescription drugs.

TX HB4341

Relating to promoting, prescribing, administering, or dispensing prescription drugs for off-label use.

Similar Bills

No similar bills found.