Texas 2025 - 89th Regular

Texas House Bill HB3749

Filed
3/4/25  
Out of House Committee
5/8/25  
Voted on by House
5/16/25  
Out of Senate Committee
5/23/25  
Bill Becomes Law
 

Caption

Relating to the regulation of the provision of elective intravenous therapy.

Impact

The introduction of HB 3749 is expected to have significant implications for healthcare providers in Texas. By formalizing the delegation of responsibilities related to elective intravenous therapy, the bill may increase the ability of healthcare practitioners, particularly nurse practitioners and physician assistants, to offer these services. Moreover, it could decrease the administrative burden on physicians and facilitate more timely patient care. The intent is to expand patient access to these therapies while maintaining stringent oversight mechanisms to ensure safety and compliance with medical standards.

Summary

House Bill 3749, referred to as 'Jenifer's Law', seeks to establish a regulatory framework for elective intravenous therapy in Texas. The bill defines elective intravenous therapy as a procedure where fluids, nutrients, medications, or blood are administered directly into a patient's bloodstream via a vein, and which is not conducted within a physician's office or licensed health facility. The legislation aims to clarify who is authorized to prescribe and administer such procedures, specifically allowing delegation of these tasks to physician assistants and advanced practice registered nurses under physician supervision. This is intended to enhance access to elective intravenous therapy while ensuring patient safety.

Sentiment

The sentiment around HB 3749 appears generally supportive, particularly among health professionals advocating for expanded roles for physician assistants and nurses. They argue that the bill not only improves patient access to valuable health services but also acknowledges the capacities of trained nursing and support staff in delivering care. However, there may be concerns from some stakeholders regarding the adequacy of supervision and training required for nurses and assistants when performing these delegated tasks, potentially stirring apprehension about patient safety and care quality.

Contention

While the bill has received favorable reviews and passed through committees with strong support, debates may arise regarding the potential for broadly interpreting what constitutes elective intravenous therapy. Opponents might question the effectiveness of supervision under this delegation model and how it aligns with traditional roles within healthcare. Some critics could argue that expanded authority without strict regulations might lead to inconsistent practices or a dilution of accountability, putting patients at risk if not managed properly. Overall, the bill represents a shifting landscape in healthcare provision, balancing access improvements with necessary oversight.

Texas Constitutional Statutes Affected

Occupations Code

  • Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
    • Section: New Section
    • Section: 0512

Companion Bills

No companion bills found.

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