Texas 2013 - 83rd Regular

Texas Senate Bill SB406

Filed
 
Out of Senate Committee
 
Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 

Caption

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.

Impact

The bill posits a significant shift in Texas law regarding healthcare delivery by officially recognizing APRNs and PAs as primary care providers on par with physicians. This adjustment is particularly relevant as it responds to the growing demand for healthcare services, especially in rural or medically underserved areas. By allowing these practitioners to operate more autonomously, the bill aims to improve healthcare access and reduce the burdens on physicians, potentially leading to enhanced patient outcomes and satisfaction.

Summary

SB406 is a legislative measure aimed at expanding the practice authority of advanced practice registered nurses (APRNs) and physician assistants (PAs) in Texas by enhancing their prescriptive authority. The bill allows physicians to delegate the authority to prescribe and order medications and devices to APRNs and PAs under certain conditions, especially within facility-based practices, like hospitals and long-term care facilities. This change is intended to alleviate physician shortages in underserved areas and to ensure that patients have access to timely medical care, which is critical in situations requiring immediate attention.

Contention

Despite its progressive approach to healthcare provision, SB406 is not without its critics. Concerns have been raised regarding the safety and efficacy of allowing non-physician providers to have increased prescribing powers. Opponents argue that without sufficient oversight and training, this could lead to negative patient outcomes. Additionally, the bill may prompt discussions about the quality of care and the adequacy of training for APRNs and PAs in relation to prescribing potent medications, particularly controlled substances.

Companion Bills

TX HB1055

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

Similar Bills

TX HB1055

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

TX HB1885

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

TX SB751

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.