Texas 2011 - 82nd Regular

Texas Senate Bill SB1857

Filed
 
Out of Senate Committee
5/6/11  
Introduced
3/11/11  
Voted on by Senate
5/10/11  
Refer
3/24/11  
Out of House Committee
5/19/11  
Report Pass
5/6/11  
Voted on by House
5/23/11  
Engrossed
5/10/11  
Governor Action
6/17/11  
Refer
5/11/11  
Bill Becomes Law
 
Enrolled
5/23/11  

Caption

Relating to the administration of medication for persons with intellectual and developmental disabilities.

Impact

One of the significant impacts of SB1857 is the provision that allows unlicensed persons to administer medications such as oral medications, topical applications, and metered dose inhalers without the direct supervision of a registered nurse, given certain criteria are met. This change is intended to enhance the efficiency of care delivery in small and medium-sized facilities, where nurses may be in short supply. However, the bill mandates that a registered nurse must initially assess the client and ensure that the unlicensed person administering medication has been properly trained and determined competent.

Summary

SB1857 is a legislative proposal in Texas aimed at regulating the administration of medication for persons with intellectual and developmental disabilities. Specifically, the bill introduces Subchapter D-1 into Chapter 161 of the Human Resources Code, outlining the definitions, processes, and responsibilities surrounding medication administration in small and medium facilities serving this population. The legislation recognizes the role of unlicensed individuals in administering certain types of medication under established guidelines, providing flexibility in care while aiming to ensure client safety.

Conclusion

In conclusion, SB1857 seeks to create a more adaptable framework for medication administration within facilities caring for individuals with intellectual and developmental disabilities. By redefining the roles of licensed and unlicensed staff, the bill aims to meet the growing demands for support services while ensuring that the health and safety of clients remain a priority.

Contention

The bill may generate contention particularly around the delegation of medication administration to unlicensed personnel. Advocacy groups representing individuals with disabilities may express concerns regarding the potential risks associated with allowing individuals without formal medical training to administer medications. The bill includes provisions aimed at accountability, requiring that registered nurses conduct annual reviews and maintain oversight on the training and competency of unlicensed staff, which may help address some concerns over safety and efficacy.

Companion Bills

TX HB3611

Identical Relating to the administration of medication for persons with intellectual and developmental disabilities.

Previously Filed As

TX SB1585

Relating to certain proceedings in juvenile court for children with mental illness and intellectual disabilities.

TX HB2037

Relating to certain proceedings in juvenile court for children with mental illness and intellectual disabilities.

TX HB1359

Relating to certain proceedings in juvenile court for children with mental illness and intellectual disabilities.

TX HB1008

Relating to suspending the employment of certain persons who provide care to individuals with an intellectual or developmental disability and who are alleged to have engaged in reportable conduct; providing an administrative penalty.

TX HB5088

Relating to procedures regarding certain persons who are or may be persons with a mental illness or intellectual disability.

TX SB2479

Relating to procedures regarding certain persons who are or may be persons with a mental illness or intellectual disability.

TX HB3330

Relating to the establishment of a task force on the statewide alert systems for abducted children and missing persons with intellectual disabilities.

TX HB446

Relating to the terminology used in statute to refer to intellectual disability and certain references to abolished health and human services agencies.

TX SB332

Relating to the terminology used in statute to refer to intellectual disability and certain references to abolished health and human services agencies.

TX HB729

Relating to the statewide intellectual and developmental disability coordinating council.

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TX HB3611

Relating to the administration of medication for persons with intellectual and developmental disabilities.

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