Relating to the authority of advanced practice registered nurses to make medical diagnoses and to prescribe and order prescription drugs and devices.
Impact
The implementation of HB 915 is expected to significantly impact state laws governing nursing practices and healthcare delivery. By officially recognizing and broadening the scope of practice for APRNs, the bill aligns with national trends encouraging the integration of nurse practitioners into primary care settings. Specifically, the law will amend existing regulations to simplify the prescribing process and enhance APRNs' capability to address patient needs more efficiently, especially in rural areas where medical specialists may be scarce. This change is likely to improve health outcomes by facilitating quicker diagnosis and treatment recommendations.
Summary
House Bill 915 aims to expand the authority of advanced practice registered nurses (APRNs) in Texas by granting them the ability to make medical diagnoses and prescribe and order prescription drugs and devices. This legislation seeks to enhance the role of APRNs in the healthcare workforce, particularly in underserved areas where physician shortages may exist. The bill is grounded in the need to provide more comprehensive healthcare services by allowing certified nurses to take on additional responsibilities traditionally held by physicians, thereby improving patient access to healthcare services.
Sentiment
General sentiment around HB 915 appears to be supportive, especially among nursing and healthcare professionals who advocate for greater autonomy in their practice. Proponents argue that empowering APRNs to diagnose and prescribe will alleviate some burdens from the healthcare system and enable nurses to utilize their training fully. However, there is a concern among some physicians regarding potential overreach and the quality of care provided by non-physicians, sparking a debate about patient safety and the necessary supervision required for APRNs.
Contention
Notable points of contention during the discussions have included concerns from certain medical associations about the training and oversight of APRNs who would be granted this expanded authority. Critics argue that while APRNs play a vital role in healthcare, the complexities of medical diagnosis and treatment require the expertise of fully trained physicians. The balance between enhancing healthcare access and ensuring patient safety remains a key issue as stakeholders navigate the implications of such legislation.
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.
Requires health care practitioners prescribing opioid medications on first-time basis, or to minor children, to limit amount of prescribed medication to seven-day supply, except in certain circumstances.
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.