| 1 | 1 | | By: Coleman, Orr H.B. No. 1266 |
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| 2 | 2 | | Substitute the following for H.B. No. 1266: |
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| 3 | 3 | | By: Kolkhorst C.S.H.B. No. 1266 |
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| 4 | 4 | | |
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| 5 | 5 | | |
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| 6 | 6 | | A BILL TO BE ENTITLED |
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| 7 | 7 | | AN ACT |
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| 8 | 8 | | relating to a study of the practice of advanced practice registered |
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| 9 | 9 | | nurses and the authority of those nurses to prescribe and order |
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| 10 | 10 | | prescription drugs. |
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| 11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 12 | 12 | | SECTION 1. INTERIM STUDY OF INDEPENDENT PRACTICE OF |
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| 13 | 13 | | ADVANCED PRACTICE REGISTERED NURSES. (a) The speaker of the house |
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| 14 | 14 | | of representatives and the lieutenant governor shall issue a joint |
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| 15 | 15 | | interim charge to the standing committees of the house of |
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| 16 | 16 | | representatives and senate with jurisdiction over health care |
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| 17 | 17 | | professionals to conduct a joint study as described by Subsection |
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| 18 | 18 | | (b). |
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| 19 | 19 | | (b) The study shall examine the independent practice of |
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| 20 | 20 | | advanced practice registered nurses to perform basic emergency and |
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| 21 | 21 | | non-emergency health care services and preventive health care |
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| 22 | 22 | | services within the scope of the health care providers' practice |
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| 23 | 23 | | and license, including: |
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| 24 | 24 | | (1) the potential cost savings of health care |
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| 25 | 25 | | providers who are not physicians performing these health care |
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| 26 | 26 | | services; |
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| 27 | 27 | | (2) the impact on access to health care services for |
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| 28 | 28 | | underserved communities and health professional shortage areas; |
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| 29 | 29 | | (3) any projected impact on patient safety and the |
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| 30 | 30 | | quality of care for persons treated by health care providers who are |
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| 31 | 31 | | not physicians; |
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| 32 | 32 | | (4) the effect on the state's overall health care |
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| 33 | 33 | | system; and |
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| 34 | 34 | | (5) the potential cost savings and other foreseeable |
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| 35 | 35 | | consequences of expanding the authority of advanced practice |
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| 36 | 36 | | registered nurses to prescribe medication to patients. |
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| 37 | 37 | | (c) Not later than January 1, 2013, the committees shall |
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| 38 | 38 | | report the committees' findings and recommendations to the |
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| 39 | 39 | | lieutenant governor, the speaker of the house of representatives, |
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| 40 | 40 | | and the governor. The committees shall include in their |
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| 41 | 41 | | recommendations specific changes to statutes and agency rules that |
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| 42 | 42 | | may be necessary according to the results of the committees' study |
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| 43 | 43 | | conducted under this section. |
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| 44 | 44 | | (d) Not later than November 1, 2011, the lieutenant governor |
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| 45 | 45 | | and the speaker of the house of representatives shall issue the |
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| 46 | 46 | | joint interim charge required by this section. |
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| 47 | 47 | | (e) This section expires January 1, 2013. |
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| 48 | 48 | | SECTION 2. EFFECTIVE DATE. This Act takes effect September |
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| 49 | 49 | | 1, 2011. |
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