Texas 2011 - 82nd Regular

Texas House Bill HB3249

Voted on by House
 
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to a physician's authority to delegate prescribing acts to physician assistants.

Impact

If enacted, HB 3249 would notably impact the prescribing landscape in Texas by extending the roles and responsibilities of physician assistants. It stipulates that while physicians can delegate, they must provide proper and continuous supervision, though physical presence is not required. This change aims to enhance healthcare delivery in environments where PAs are already working alongside physicians, ensuring patients can receive timely medications under proper oversight. This could potentially alleviate some workload from physicians, allowing them to focus on more complex cases while PAs handle routine prescription tasks.

Summary

House Bill 3249 aims to amend the Occupations Code regarding the authority of physicians to delegate prescribing acts to physician assistants (PAs). The bill seeks to streamline the process by allowing physicians to delegate the signing of prescription drug orders for controlled substances when specific conditions are met. This flexibility is particularly relevant in practice sites such as medical and dental schools, hospitals, clinics, and hospices, where the delegation is expected to improve patient access to medications while ensuring adequate physician supervision.

Sentiment

The sentiment surrounding HB 3249 appears to be generally supportive among healthcare professionals, especially those in hospital and outpatient settings. Proponents argue that this measure will help address the chronic issue of access to healthcare and improve the efficiency of medication management. However, some concerns regarding the adequacy of supervision and the potential for over-delegation persist among critics, emphasizing the need for stringent guidelines to ensure patient safety.

Contention

Notable points of contention include fears that the delegation of prescribing authority might lead to improper practices or diminished care standards if not carefully monitored. Some stakeholders worry that without strict oversight, patients may be at risk of inappropriate prescribing practices. The bill addresses these concerns by requiring adequate physician supervision and defining clear parameters under which delegation can occur. The balance between expanding access while maintaining high standards of patient care is at the core of the discussion as the bill progresses through the legislative process.

Companion Bills

TX SB1750

Similar Relating to a physician's authority to delegate prescribing acts to physician assistants.

Similar Bills

NV AB170

Providing for the licensure of associate physicians and associate osteopathic physicians. (BDR 54-840)

AZ HB2043

Physician assistants; supervision; collaboration

TX HB2098

Relating to the authority of physicians and physician assistants to form certain entities.

AZ SB1367

Physician assistants; practice; oversight

NM HB267

Physician Assistants Supervising Others

TX HB4352

Relating to the scope of practice of physician assistants.

OK HB2051

Practice of medicine; creating the Supervised Physicians Act; limiting scope of supervised practice; directing specified Boards to promulgate certain rules; requiring collaborative practice arrangements; creating certain exemptions; effective date.

TX SB1331

Relating to the creation of the Texas Physician Health Program.