Texas 2017 - 85th 1st C.S.

Texas House Bill HB189 Compare Versions

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

Old	New	Differences
1	1	85S10650 BEE-D
2	2	By: Oliverson H.B. No. 189
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	as effective September 1, 2017, 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 the following:
42	42	(A) chart review, with the number of charts to be
43	43	reviewed determined by the physician and advanced practice
44	44	registered nurse or physician assistant; and
45	45	(B) [if the agreement is between a physician and
46	46	an advanced practice registered nurse,] periodic [face-to-face]
47	47	meetings between the advanced practice registered nurse or
48	48	physician assistant and the physician [at a location determined by
49	49	the physician and the advanced practice registered nurse; and
50	50	[(C) if the agreement is between a physician and
51	51	a physician assistant, periodic meetings between the physician
52	52	assistant and the physician].
53	53	(f) The periodic [face-to-face] meetings described by
54	54	Subsection (e)(9)(B) must:
55	55	(1) include:
56	56	(A) the sharing of information relating to
57	57	patient treatment and care, needed changes in patient care plans,
58	58	and issues relating to referrals; and
59	59	(B) discussion of patient care improvement;
60	60	[and]
61	61	(2) be documented; and
62	62	(3) take place at least once a month in a manner
63	63	determined by the physician and the advanced practice registered
64	64	nurse or physician assistant [occur:
65	65	[(A) except as provided by Paragraph (B):
66	66	[(i) at least monthly until the third
67	67	anniversary of the date the agreement is executed; and
68	68	[(ii) at least quarterly after the third
69	69	anniversary of the date the agreement is executed, with monthly
70	70	meetings held between the quarterly meetings by means of a remote
71	71	electronic communications system, including videoconferencing
72	72	technology or the Internet; or
73	73	[(B) if during the seven years preceding the date
74	74	the agreement is executed the advanced practice registered nurse
75	75	for at least five years was in a practice that included the exercise
76	76	of prescriptive authority with required physician supervision:
77	77	[(i) at least monthly until the first
78	78	anniversary of the date the agreement is executed; and
79	79	[(ii) at least quarterly after the first
80	80	anniversary of the date the agreement is executed, with monthly
81	81	meetings held between the quarterly meetings by means of a remote
82	82	electronic communications system, including videoconferencing
83	83	technology or the Internet].
84	84	SECTION 2. Section 157.0512(f-1), Occupations Code, as
85	85	effective September 1, 2017, is repealed.
86	86	SECTION 3. Section 157.0512, Occupations Code, as amended
87	87	by this Act, applies only to a prescriptive authority agreement
88	88	entered into on or after the effective date of this Act. An
89	89	agreement entered into before the effective date of this Act is
90	90	governed by the law in effect on the date the agreement was entered
91	91	into, and the former law is continued in effect for that purpose.
92	92	SECTION 4. This Act takes effect December 1, 2017.