Texas 2023 - 88th Regular

Texas House Bill HB4346

Voted on by House
 
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to joint practice by certain health care professionals.

Impact

This bill is expected to facilitate collaborations between different healthcare providers, potentially leading to improved healthcare delivery and enhanced service availability for patients. By allowing physician assistants and advanced practice registered nurses to engage in joint practices, the intent is to streamline service provision and encourage a more integrated healthcare approach. Furthermore, the bill emphasizes that regulatory authority remains with the respective boards governing each type of healthcare professional, thereby upholding existing legal frameworks for oversight.

Summary

House Bill 4346, introduced by Representative Allison, seeks to establish provisions for joint practice arrangements among various healthcare professionals, specifically targeting physician assistants and advanced practice registered nurses. The bill amends certain sections of the Business Organizations Code to allow these professionals to form and own professional associations or limited liability companies. However, the law maintains restrictions on the ownership interests of physician assistants and advanced practice registered nurses, ensuring that they cannot hold majority ownership in these entities, which must remain in control of licensed physicians.

Sentiment

The sentiment surrounding HB 4346 appears to be generally positive among healthcare professionals who advocate for expanded operational freedoms and collaborative practices. Proponents argue that enabling joint practices can address healthcare access issues, particularly in underserved areas. However, there may exist some concerns regarding the extent of autonomy that these non-physician professionals should have, given the complexities involved in healthcare provision. This aspect could lead to discussions about the adequacy of training and oversight in joint practice settings.

Contention

Notable points of contention may arise from the regulatory constraints imposed by the bill, such as the limitation on ownership interests for non-physician professionals. Critics may argue that these restrictions could hinder the full potential of collaborative practices by limiting the decision-making power of physician assistants and advanced practice registered nurses. Additionally, there may be discourse around the implications of such ownership limitations on the future landscape of healthcare practices and how they affect the ability of these professionals to operate effectively within joint practices.

Texas Constitutional Statutes Affected

Business Organizations Code

  • Chapter 301. Provisions Relating To Professional Entities
    • Section: New Section

Occupations Code

  • Chapter 204. Physician Assistants
    • Section: New Section

Companion Bills

No companion bills found.

Similar Bills

TX HB2098

Relating to the authority of physicians and physician assistants to form certain entities.

NV AB170

Providing for the licensure of associate physicians and associate osteopathic physicians. (BDR 54-840)

TX HB4352

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NM HB267

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OK HB2051

Practice of medicine; creating the Supervised Physicians Act; limiting scope of supervised practice; directing specified Boards to promulgate certain rules; requiring collaborative practice arrangements; creating certain exemptions; effective date.

TX SB1331

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TX HB2556

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TX HB1685

Relating to the licensing and regulation of physician graduates and the authority of an insured to select a physician graduate under the insured's health insurance policy; requiring an occupational license; authorizing fees.