Texas 2009 - 81st Regular

Texas House Bill HB696

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 advanced practice nurses or physician assistants.

Impact

One notable impact of HB 696 is its potential to enhance healthcare delivery by allowing qualified APNs and PAs to prescribe medications independently under a physician's oversight. This could alleviate some of the burdens on physicians, particularly in high-demand settings where physician shortages exist. The bill encourages the delegation of prescriptive authority, thus expanding the capacity of healthcare teams to treat patients efficiently. However, the bill also sets specific limitations on the number of APNs and PAs that a single physician can delegate authority to, which is intended to ensure that delegating physicians can maintain adequate oversight over prescriptions made by their delegates.

Summary

House Bill 696 addresses the authority of physicians in Texas to delegate prescription acts to advanced practice nurses (APNs) and physician assistants (PAs). The bill seeks to amend existing regulations regarding prescriptive authority agreements, through which physicians can grant APNs and PAs the ability to prescribe medications, including controlled substances. The proposed changes clarify the conditions under which these delegations can occur and aim to foster collaboration between physicians and these healthcare professionals. This is particularly significant in addressing healthcare access, especially in medically underserved areas.

Contention

There is some contention surrounding the regulations proposed in HB 696. Supporters argue that empowering APNs and PAs with prescriptive authority can lead to improved patient outcomes and allow for more timely access to care. They emphasize that this is particularly important in dealing with healthcare shortages. On the other hand, some critics raise concerns about the adequacy of oversight by physicians and whether the current regulatory framework sufficiently protects patients. Moreover, there may be worries regarding the training and competency of APNs and PAs in managing the complexities of prescribing medications, leading to discussions about defining the scope and limits of their authority.

Companion Bills

TX SB680

Very Similar Relating to a physician's authority to delegate prescribing acts to advanced practice nurses or physician assistants.

Previously Filed As

TX SB1700

Relating to the licensing and authority of advanced practice registered nurses.

TX HB3229

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.

TX SB1959

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.

TX HB1190

Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.

TX HB3227

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.

TX HB4071

Relating to the licensing and regulation of advanced practice registered nurses.

TX HB3567

Relating to requirements for the renewal of a physician's registration permit and the delegation by a physician of certain medical acts.

TX HB4300

Relating to expedited credentialing of certain physician assistants and advanced practice nurses by managed care plan issuers.

TX HB3230

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.

TX HB1240

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

Similar Bills

TX SB680

Relating to a physician's authority to delegate prescribing acts to advanced practice nurses or physician assistants.

TX SB406

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.

TX HB1055

Relating to the delegation and supervision of prescriptive authority by physicians to certain advanced practice registered nurses and physician assistants.

HI SB61

Relating To Associate Physicians.

HI SB61

Relating To Associate Physicians.

NJ S1832

Establishes "Graduate Physician Licensing Act."

NJ A5273

Establishes "Graduate Physician Licensing Act."

TN HB1311

AN ACT to amend Tennessee Code Annotated, Title 49; Title 63 and Title 68, relative to graduate physicians.