Texas 2011 - 82nd Regular

Texas House Bill HB708

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

Caption

Relating to licensing, regulation, and prescribing and ordering authority of advanced practice registered nurses and the regulation of registered nurses and physician assistants.

Impact

The bill modifies existing laws, especially within the Occupations Code, to provide clearer guidelines on the delegation of responsibilities from physicians to APRNs and PAs. It acknowledges and expands the capacity of APRNs to operate as licensed independent practitioners, which can significantly enhance healthcare access, especially in rural or underserved urban areas. The provisions also include measures for insurance coverage and reimbursement for services rendered by these practitioners, creating a more inclusive healthcare delivery model.

Summary

House Bill 708 addresses the licensing, regulation, and prescribing authority of advanced practice registered nurses (APRNs) and the regulation of physician assistants (PAs). This legislation outlines a clear scope of practice for APRNs, allowing them to diagnose, prescribe, and manage patient care independently or in collaboration with physicians. The bill aims to streamline the regulatory framework guiding these healthcare providers, thus improving access to care in various settings, particularly in underserved areas. By defining the roles and responsibilities of APRNs and PAs, the bill seeks to elevate the standard of care while ensuring patient safety.

Sentiment

General sentiment about HB 708 appears to be positive among healthcare professionals, particularly those advocating for broader roles for APRNs and PAs in the healthcare system. Supporters argue that this bill is a step forward in recognizing the capabilities of APRNs and PAs, facilitating a more collaborative healthcare environment. Nevertheless, there are concerns from some stakeholders regarding the potential risks related to patient safety and the adequacy of training for these advanced practice professionals, especially in complex medical scenarios. The debate reflects a balancing act between improving access to care and maintaining high standards of medical supervision and safety.

Contention

A notable point of contention around the bill includes the extent of prescriptive authority granted to APRNs. Critics argue that expanding the prescribing powers without stringent supervisory requirements may lead to safety concerns and inadequate patient care in cases where complex medical decisions are needed. Proponents counter by emphasizing the training and education APRNs receive, which equips them to make informed, safe decisions about patient care. Ultimately, the successful passage of HB 708 will likely depend on addressing these concerns and finding an acceptable middle ground that satisfies both advocates and critics.

Companion Bills

No companion bills found.

Similar Bills

TX HB1266

Relating to a study of the practice of advanced practice registered nurses and the authority of those nurses to prescribe and order prescription drugs.

TX SB1260

Relating to licensing of advanced practice registered nurses and the authority of those nurses to prescribe and order prescription drugs.

TX SB751

Relating to the scope of practice of and the prescribing and ordering authority of advanced practice registered nurses.

TX HB1885

Relating to the scope of practice of and the prescribing and ordering authority of advanced practice registered nurses.

TX SB681

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

TX HB1415

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

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 HB3395

Relating to the authority of advanced practice registered nurses practicing in certain areas.