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
Relating to the licensing and regulation of advanced practice registered nurses and the payment of independent advanced practice registered nurses in certain government employee health plans.
Relating to the licensing and regulation of advanced practice registered nurses and the payment of independent advanced practice registered nurses in certain government employee health plans.
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.