Texas 2019 - 86th Regular

Texas House Bill HB278 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	H.B. No. 278
	1	+	By: Oliverson, et al. (Senate Sponsor - Perry) H.B. No. 278
	2	+	(In the Senate - Received from the House April 15, 2019;
	3	+	April 16, 2019, read first time and referred to Committee on Health &
	4	+	Human Services; April 24, 2019, reported favorably by the
	5	+	following vote: Yeas 9, Nays 0; April 24, 2019, sent to printer.)
	6	+	Click here to see the committee vote
2	7
3	8
	9	+	A BILL TO BE ENTITLED
4	10		AN ACT
5	11		relating to the frequency and location of certain meetings required
6	12		by a prescriptive authority agreement.
7	13		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
8	14		SECTION 1. Sections 157.0512(e) and (f), Occupations Code,
9	15		are amended to read as follows:
10	16		(e) A prescriptive authority agreement must, at a minimum:
11	17		(1) be in writing and signed and dated by the parties
12	18		to the agreement;
13	19		(2) state the name, address, and all professional
14	20		license numbers of the parties to the agreement;
15	21		(3) state the nature of the practice, practice
16	22		locations, or practice settings;
17	23		(4) identify the types or categories of drugs or
18	24		devices that may be prescribed or the types or categories of drugs
19	25		or devices that may not be prescribed;
20	26		(5) provide a general plan for addressing consultation
21	27		and referral;
22	28		(6) provide a plan for addressing patient emergencies;
23	29		(7) state the general process for communication and
24	30		the sharing of information between the physician and the advanced
25	31		practice registered nurse or physician assistant to whom the
26	32		physician has delegated prescriptive authority related to the care
27	33		and treatment of patients;
28	34		(8) if alternate physician supervision is to be
29	35		utilized, designate one or more alternate physicians who may:
30	36		(A) provide appropriate supervision on a
31	37		temporary basis in accordance with the requirements established by
32	38		the prescriptive authority agreement and the requirements of this
33	39		subchapter; and
34	40		(B) participate in the prescriptive authority
35	41		quality assurance and improvement plan meetings required under this
36	42		section; and
37	43		(9) describe a prescriptive authority quality
38	44		assurance and improvement plan and specify methods for documenting
39	45		the implementation of the plan that include the following:
40	46		(A) chart review, with the number of charts to be
41	47		reviewed determined by the physician and advanced practice
42	48		registered nurse or physician assistant; and
43	49		(B) [if the agreement is between a physician and
44	50		an advanced practice registered nurse,] periodic [face-to-face]
45	51		meetings between the advanced practice registered nurse or
46	52		physician assistant and the physician [at a location determined by
47	53		the physician and the advanced practice registered nurse; and
48	54		[(C) if the agreement is between a physician and
49	55		a physician assistant, periodic meetings between the physician
50	56		assistant and the physician].
51	57		(f) The periodic [face-to-face] meetings described by
52	58		Subsection (e)(9)(B) must:
53	59		(1) include:
54	60		(A) the sharing of information relating to
55	61		patient treatment and care, needed changes in patient care plans,
56	62		and issues relating to referrals; and
57	63		(B) discussion of patient care improvement;
58	64		[and]
59	65		(2) be documented; and
60	66		(3) take place at least once a month in a manner
61	67		determined by the physician and the advanced practice registered
62	68		nurse or physician assistant [occur:
63	69		[(A) except as provided by Paragraph (B):
64	70		[(i) at least monthly until the third
65	71		anniversary of the date the agreement is executed; and
66	72		[(ii) at least quarterly after the third
67	73		anniversary of the date the agreement is executed, with monthly
68	74		meetings held between the quarterly meetings by means of a remote
69	75		electronic communications system, including videoconferencing
70	76		technology or the Internet; or
71	77		[(B) if during the seven years preceding the date
72	78		the agreement is executed the advanced practice registered nurse
73	79		for at least five years was in a practice that included the exercise
74	80		of prescriptive authority with required physician supervision:
75	81		[(i) at least monthly until the first
76	82		anniversary of the date the agreement is executed; and
77	83		[(ii) at least quarterly after the first
78	84		anniversary of the date the agreement is executed, with monthly
79	85		meetings held between the quarterly meetings by means of a remote
80	86		electronic communications system, including videoconferencing
81	87		technology or the Internet].
82	88		SECTION 2. Section 157.0512(f-1), Occupations Code, is
83	89		repealed.
84	90		SECTION 3. Section 157.0512, Occupations Code, as amended
85	91		by this Act, applies only to a prescriptive authority agreement
86	92		entered into on or after the effective date of this Act. An
87	93		agreement entered into before the effective date of this Act is
88	94		governed by the law in effect on the date the agreement was entered
89	95		into, and the former law is continued in effect for that purpose.
90	96		SECTION 4. This Act takes effect September 1, 2019.
91		-	______________________________ ______________________________
92		-	President of the Senate Speaker of the House
93		-	I certify that H.B. No. 278 was passed by the House on April
94		-	12, 2019, by the following vote: Yeas 143, Nays 0, 2 present, not
95		-	voting.
96		-	______________________________
97		-	Chief Clerk of the House
98		-	I certify that H.B. No. 278 was passed by the Senate on May 3,
99		-	2019, by the following vote: Yeas 31, Nays 0.
100		-	______________________________
101		-	Secretary of the Senate
102		-	APPROVED: _____________________
103		-	Date
104		-	_____________________
105		-	Governor
	97	+	* * * * *