84R6356 EES-F By: Klick H.B. No. 2129 A BILL TO BE ENTITLED AN ACT relating to the administration by certain health care professionals of treatments, therapy, or medication ordered by an optometrist or therapeutic optometrist. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 301.002(2), Occupations Code, is amended to read as follows: (2) "Professional nursing" means the performance of an act that requires substantial specialized judgment and skill, the proper performance of which is based on knowledge and application of the principles of biological, physical, and social science as acquired by a completed course in an approved school of professional nursing. The term does not include acts of medical diagnosis or the prescription of therapeutic or corrective measures. Professional nursing involves: (A) the observation, assessment, intervention, evaluation, rehabilitation, care and counsel, or health teachings of a person who is ill, injured, infirm, or experiencing a change in normal health processes; (B) the maintenance of health or prevention of illness; (C) the administration of a medication or treatment as ordered by a physician, podiatrist, [or] dentist, or therapeutic optometrist; (D) the supervision or teaching of nursing; (E) the administration, supervision, and evaluation of nursing practices, policies, and procedures; (F) the requesting, receiving, signing for, and distribution of prescription drug samples to patients at practices at which an advanced practice registered nurse is authorized to sign prescription drug orders as provided by Subchapter B, Chapter 157; (G) the performance of an act delegated by a physician under Section 157.0512, 157.054, 157.058, or 157.059; and (H) the development of the nursing care plan. SECTION 2. Section 453.001(9), Occupations Code, is amended to read as follows: (9) "Referring practitioner" means a qualified licensed health care professional who, within the scope of professional licensure, may refer a person for health care services. The term includes: (A) a physician licensed to practice medicine by a state board of medical examiners; (B) a dentist licensed by a state board of dental examiners; (C) a chiropractor licensed by a state board of chiropractic examiners; [and] (D) a podiatrist licensed by a state board of podiatric medical examiners; and (E) an optometrist or therapeutic optometrist licensed by a state board of optometry. SECTION 3. Section 454.213(b), Occupations Code, is amended to read as follows: (b) Implementation of direct occupational therapy to a person for a specific health care condition must be based on a referral from: (1) a physician licensed by a state board of medical examiners; (2) a dentist licensed by a state board of dental examiners; (3) a chiropractor licensed by a state board of chiropractic examiners; (4) a podiatrist licensed by a state board of podiatric medical examiners; [or] (5) an optometrist or therapeutic optometrist licensed by a state board of optometry; or (6) another qualified, licensed health care professional who is authorized to refer for health care services within the scope of the professional's license. SECTION 4. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2015.