Texas 2023 - 88th Regular

Texas Senate Bill SB1700

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

Caption

Relating to the licensing and authority of advanced practice registered nurses.

Impact

The legislative discussions surrounding SB 1700 revealed a clear intent to modernize occupational licensing laws and expand accessible healthcare services. Proponents argue that the bill will significantly alleviate the healthcare crisis in Texas by empowering APRNs and physician assistants to deliver care without the need for direct physician oversight. Organizations such as AARP Texas have voiced strong support for the bill, emphasizing its potential to enhance patient access to care—especially in underserved areas. The bill's provisions are expected to create a more sustainable and responsive healthcare framework, enabling a more effective distribution of medical resources.

Summary

Senate Bill 1700, known as the Heel Texans Act, focuses on enhancing access to healthcare in Texas by modernizing the licensing and authority of advanced practice registered nurses (APRNs) and physician assistants. The bill seeks to address the state's healthcare workforce shortage by removing existing barriers that prevent these professionals from providing care independently. Notably, Texas is one of the few states that requires nurse practitioners to have a delegation contract with a physician to provide primary care. SB1700 aims to change this by allowing APRNs to operate with greater autonomy, thus improving patient access to necessary healthcare services.

Sentiment

Overall, the sentiment surrounding SB 1700 is largely positive among advocates, who view it as a crucial step toward combating healthcare disparities in Texas. Supporters believe that by allowing APRNs and physician assistants to practice more independently, the state can better address public health needs and improve service delivery. However, some concerns have been raised regarding the balance of care quality and patient safety, with critics cautioning against potential risks of insufficient oversight in clinical settings.

Contention

Debate on SB 1700 highlighted notable points of contention, particularly around the implications of granting APRNs greater prescribing authority and the potential for decreased physician supervision. While supporters maintain that empowering these healthcare providers will lead to better patient outcomes, skeptics argue that it could undermine the established physician-led care model. The discussions reflect a broader tension within healthcare policy regarding how best to meet the needs of patients while ensuring safety and quality of care.

Texas Constitutional Statutes Affected

Occupations Code

  • Chapter 301. Nurses
    • Section: New Section
    • Section: 354
  • Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
    • Section: 051
    • Section: 0511
    • Section: 0512
    • Section: 054

Health And Safety Code

  • Chapter 481. Texas Controlled Substances Act
    • Section: New Section
  • Chapter 483. Dangerous Drugs
    • Section: 001
  • Chapter 161. Public Health Provisions
    • Section: 0052
  • Chapter 32. Maternal And Infant Health Improvement
    • Section: New Section

Insurance Code

  • Chapter 843. Health Maintenance Organizations
    • Section: 312
  • Chapter 1451. Access To Certain Practitioners And Facilities
    • Section: 001

Labor Code

  • Chapter 408. Workers' Compensation Benefits
    • Section: 025

Family Code

  • Chapter 263. Review Of Placement Of Children Under Care Of Department Of Family And Protective Services
    • Section: New Section
  • Chapter 266. Medical Care And Educational Services For Children In Conservatorship Of Department Of Family And Protective Services
    • Section: New Section

Education Code

  • Chapter 38. Health And Safety
    • Section: New Section

Government Code

  • Chapter 531. Health And Human Services Commission
    • Section: 0217

Companion Bills

No companion bills found.

Similar Bills

TX HB1885

Relating to the scope of practice of and the prescribing and ordering authority of advanced practice registered nurses.

TX SB751

Relating to the scope of practice of and the prescribing and ordering authority of advanced practice registered nurses.

TX SB681

Relating to the licensing and authority of advanced practice registered nurses.

TX HB1415

Relating to the licensing and authority of advanced practice registered nurses.

TX HB1756

Relating to the licensing and authority of advanced practice registered nurses.

TX HB2029

Relating to the licensing and authority of advanced practice registered nurses.

TX SB915

Relating to the licensing and authority of advanced practice registered nurses.

TX HB4362

Relating to the licensing and regulation of certain health professions; requiring an occupational certificate to perform certain surgical procedures.