Texas 2017 - 85th Regular

Texas Senate Bill SB1928 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	85R3751 BEE-D
2	2	By: Kolkhorst S.B. No. 1928
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the frequency and location of certain meetings required
8	8	by a prescriptive authority agreement.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Sections 157.0512(e) and (f), Occupations Code,
11	11	are amended to read as follows:
12	12	(e) A prescriptive authority agreement must, at a minimum:
13	13	(1) be in writing and signed and dated by the parties
14	14	to the agreement;
15	15	(2) state the name, address, and all professional
16	16	license numbers of the parties to the agreement;
17	17	(3) state the nature of the practice, practice
18	18	locations, or practice settings;
19	19	(4) identify the types or categories of drugs or
20	20	devices that may be prescribed or the types or categories of drugs
21	21	or devices that may not be prescribed;
22	22	(5) provide a general plan for addressing consultation
23	23	and referral;
24	24	(6) provide a plan for addressing patient emergencies;
25	25	(7) state the general process for communication and
26	26	the sharing of information between the physician and the advanced
27	27	practice registered nurse or physician assistant to whom the
28	28	physician has delegated prescriptive authority related to the care
29	29	and treatment of patients;
30	30	(8) if alternate physician supervision is to be
31	31	utilized, designate one or more alternate physicians who may:
32	32	(A) provide appropriate supervision on a
33	33	temporary basis in accordance with the requirements established by
34	34	the prescriptive authority agreement and the requirements of this
35	35	subchapter; and
36	36	(B) participate in the prescriptive authority
37	37	quality assurance and improvement plan meetings required under this
38	38	section; and
39	39	(9) describe a prescriptive authority quality
40	40	assurance and improvement plan and specify methods for documenting
41	41	the implementation of the plan that include [includes] the
42	42	following:
43	43	(A) chart review, with the number of charts to be
44	44	reviewed determined by the physician and advanced practice
45	45	registered nurse or physician assistant; and
46	46	(B) periodic face-to-face meetings between the
47	47	advanced practice registered nurse or physician assistant and the
48	48	physician [at a location determined by the physician and the
49	49	advanced practice registered nurse or physician assistant].
50	50	(f) The periodic face-to-face meetings described by
51	51	Subsection (e)(9)(B) must:
52	52	(1) include:
53	53	(A) the sharing of information relating to
54	54	patient treatment and care, needed changes in patient care plans,
55	55	and issues relating to referrals; and
56	56	(B) discussion of patient care improvement;
57	57	[and]
58	58	(2) be documented; and
59	59	(3) take place at the practice site at times
60	60	determined by the physician and the advanced practice registered
61	61	nurse or physician assistant [occur:
62	62	[(A) except as provided by Paragraph (B):
63	63	[(i) at least monthly until the third
64	64	anniversary of the date the agreement is executed; and
65	65	[(ii) at least quarterly after the third
66	66	anniversary of the date the agreement is executed, with monthly
67	67	meetings held between the quarterly meetings by means of a remote
68	68	electronic communications system, including videoconferencing
69	69	technology or the Internet; or
70	70	[(B) if during the seven years preceding the date
71	71	the agreement is executed the advanced practice registered nurse or
72	72	physician assistant for at least five years was in a practice that
73	73	included the exercise of prescriptive authority with required
74	74	physician supervision:
75	75	[(i) at least monthly until the first
76	76	anniversary of the date the agreement is executed; and
77	77	[(ii) at least quarterly after the first
78	78	anniversary of the date the agreement is executed, with monthly
79	79	meetings held between the quarterly meetings by means of a remote
80	80	electronic communications system, including videoconferencing
81	81	technology or the Internet].
82	82	SECTION 2. Section 157.0512, Occupations Code, as amended
83	83	by this Act, applies only to a prescriptive authority agreement
84	84	entered into on or after the effective date of this Act. An
85	85	agreement entered into before the effective date of this Act is
86	86	governed by the law in effect on the date the agreement was entered
87	87	into, and the former law is continued in effect for that purpose.
88	88	SECTION 3. This Act takes effect September 1, 2017.