Relating to requirements for the renewal of a physician's registration permit and the delegation by a physician of certain medical acts.
Impact
If passed, HB 3567 would reinforce the supervisory role of physicians over their delegates, requiring that specific protocols be established for the execution of medical acts. This could potentially lead to improved patient care through structured coordination between physicians and other healthcare providers. The bill also seeks to modernize the process of registration permit renewal for physicians, thus addressing practical challenges faced by medical professionals in maintaining their licenses and supervisory agreements while complying with state regulations.
Summary
House Bill 3567 introduces amendments to existing legislation concerning the renewal of a physician's registration permit and the delegation of certain medical acts. The bill primarily aims to streamline requirements for physicians overseeing advanced practice registered nurses (APRNs) and physician assistants (PAs), establishing clearer criteria for the delegation of medical tasks. One significant change is the stipulation that a physician must attest to periodic meetings that will enhance patient care as part of the delegation agreement, ensuring consistent communication and collaboration among healthcare providers.
Sentiment
The sentiment surrounding HB 3567 appears to be cautiously optimistic among proponents who recognize the need for flexible yet regulated procedures for medical delegation. Supporters argue that such amendments would promote better healthcare outcomes by fostering more effective teamwork among healthcare professionals. However, there is a concern that overly stringent regulations might create barriers for APRNs and PAs in responding promptly to patient needs, indicating a need for ongoing dialogue and potential adjustments during the legislative process.
Contention
One point of contention involves the extent of oversight required by physicians over their delegates, particularly concerning the perceived sufficiency of the proposed periodic meetings. Critics argue that while collaboration is essential, frequent mandatory meetings may place an undue burden on physicians, particularly in rural areas where they may supervise multiple providers across large distances. Balancing the necessity of oversight with practical workflow is expected to be a significant focal point in discussions as the bill progresses through legislative review.
Texas Constitutional Statutes Affected
Occupations Code
Chapter 156. Registration Of Physicians
Section: New Section
Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
Relating to the delegation and supervision of prescriptive authority by physicians to certain advanced practice registered nurses and physician assistants.
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.
Relating to an education program to enable certain students to practice medicine in certain rural counties and to physician delegation of certain medical acts to advanced practice registered nurses, including in certain rural counties.
Relating to the licensing and regulation of advanced practice registered nurses and the number of advanced practice registered nurses and physician assistants with whom a physician may enter into a prescriptive authority agreement.