82R2191 NC-D
By: Patrick S.B. No. 846
A BILL TO BE ENTITLED
AN ACT
relating to the scope of practice of advanced practice nurses at
certain sites serving medically underserved populations.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter H, Chapter 301, Occupations Code, is
amended by adding Section 301.357 to read as follows:
Sec. 301.357. ADVANCED PRACTICE NURSES AT CERTAIN MEDICALLY
UNDERSERVED SITES. (a) In this section:
(1) "Advanced practice nurse" has the meaning assigned
by Section 301.152.
(2) "Limited health services" means health services
not requiring a medical diagnosis or the prescription of
therapeutic or corrective measures. The term includes
immunizations, well child care, tuberculosis control, wellness
screenings, epidemiologic investigations, and routine prenatal
care.
(3) "Site serving a medically underserved population"
has the meaning assigned by Section 157.052.
(b) At a site serving a medically underserved population, an
advanced practice nurse may provide limited health services without
the delegation or supervision of a physician required by Chapter
157 or other law.
(c) To protect the public health and safety, the board shall
adopt rules as necessary to determine the scope of practice of an
advanced practice nurse under this section based on an advanced
practice nurse's education and experience.
SECTION 2. Not later than January 1, 2012, the Texas Board
of Nursing shall adopt the rules necessary to implement the changes
in law made by this Act. The Texas Medical Board shall cooperate
with the Texas Board of Nursing in the adoption of the rules to
eliminate, to the extent possible, conflicts between the rules
adopted by each board.
SECTION 3. (a) Except as provided by Subsection (b) of this
section, this Act takes effect January 1, 2012.
(b) Section 2 of this Act takes effect September 1, 2011.