Texas 2013 - 83rd Regular

Texas House Bill HB1055

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

Caption

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

Impact

The impact of HB 1055 includes changes to the way prescriptive authority is managed within the state, allowing for a more structured and documented delegation of this authority. This shift has the potential to enhance healthcare delivery by enabling APRNs and PAs to prescribe medications under the supervision of physicians more effectively. The legislation also aims to relieve some administrative burdens by establishing standardized protocols for supervision, documentation, and quality assurance in prescriptive authority agreements.

Summary

House Bill 1055 focuses on the delegation and supervision of prescriptive authority by physicians to advanced practice registered nurses (APRNs) and physician assistants (PAs). The bill amends various sections of the Occupations Code to facilitate clearer guidelines and processes for delegation agreements. By doing so, the legislation aims to promote the effective use of non-physician healthcare providers in patient care, especially in medically underserved areas, thus addressing the increasing demand for healthcare services.

Sentiment

General sentiment around the bill appears to be supportive among healthcare professionals and organizations advocating for expanded roles for APRNs and PAs. Proponents argue that the bill will alleviate healthcare system strain and improve patient access to necessary medications. However, there are concerns among some physicians about the implications of extending prescriptive authority to non-physician practitioners, citing issues related to patient safety, quality of care, and the importance of maintaining oversight in medication management.

Contention

Notable points of contention include discussions about the appropriate level of supervision that should be required by physicians when delegating prescriptive authority. Some critics argue that the bill may reduce necessary oversight on the prescribing practices of APRNs and PAs, potentially leading to inappropriate prescribing or adverse patient outcomes. This has sparked debates about the balance between expanding access to care and ensuring the safety and effectiveness of medication management within the healthcare system.

Companion Bills

TX SB406

Identical 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.

Similar Bills

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 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 HB1756

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

TX HB2029

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

TX SB915

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