Relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses.
Impact
If enacted, HB2709 is expected to streamline the process for PAs and APNs to prescribe medications, particularly controlled substances, while ensuring that patient health care is not compromised. The bill would provide a clear framework for physicians and their assistants, potentially increasing the efficiency of healthcare services. However, it would also require the Texas Medical Board to adopt new rules for implementing these changes, and it could lead to increased scrutiny over how delegation is practiced in result to the outlined requirements. It is anticipated that this bill could improve access to medications for patients with established physician-patient relationships.
Summary
House Bill 2709 aims to regulate the delegation of prescriptive authority from physicians to physician assistants (PAs) and advanced practice nurses (APNs) in Texas. The focus of the bill is to modify existing laws surrounding this delegation, specifically addressing the handling of controlled substances. Key provisions of the bill include a limit on the prescription period for controlled substances to 90 days and mandates that refills must be authorized after a consultation with the delegating physician, which must be recorded in the patient's medical chart. This aims to enhance oversight while allowing for flexibility in delegation for PAs and APNs, enhancing their role in patient care.
Contention
Notable points of contention around HB2709 may include concerns about the level of supervision required by physicians over PAs and APNs. While proponents argue that it allows for better utilization of these health professionals, opponents may highlight potential risks in loosening supervision standards, especially concerning vulnerable patient populations. There is a delicate balance to strike between improving healthcare access and maintaining stringent oversight to ensure patient safety. The ability of the Texas Medical Board to modify or waive some supervisory requirements could generate debate, as it raises questions about the standards of care and accountability in patient treatment.
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.
Relating to the practice of advanced practice registered nurses and physician assistants and the delegation of prescriptive authority by physicians to and the supervision by physicians of certain advanced practice registered nurses and physician assistants.
Relating to the delegation and supervision of prescriptive authority by physicians to certain advanced practice registered nurses and physician assistants.