Texas House Bill HB5533

Texas 2025 - 89th Regular

• Filed: 3/14/25

Caption

Relating to the prescribing and ordering of Schedule II controlled substances in a narcotic drug treatment program by certain advanced practice registered nurses and physician assistants.

Impact

The implementation of HB5533 is expected to have significant implications for the management of narcotic treatments. By extending the authority to prescribe Schedule II controlled substances to advanced practice registered nurses and physician assistants, the bill seeks to alleviate some of the burdens on physicians while ensuring that patients receive timely and appropriate care. The flexibility offered by this bill may enhance the efficiency of narcotic drug treatment programs and improve outcomes for individuals undergoing such treatments.

Summary

House Bill 5533 addresses the prescribing and ordering of Schedule II controlled substances specifically within narcotic drug treatment programs. It amends Section 157.0511(b-1) of the Occupations Code to allow certain advanced practice registered nurses and physician assistants to prescribe these controlled substances, given that they operate within designated treatment programs. This legislation aims to streamline the process for managing narcotic treatment and improve patient access to needed medications under proper supervision.

Contention

There may be areas of contention regarding this bill, primarily revolving around patient safety and the extent of prescriptive authority granted to non-physician healthcare providers. Some stakeholders could argue that allowing advanced practice registered nurses and physician assistants to manage these potent medications requires thorough oversight to prevent misuse or dependency. Concerns may also arise regarding the training and qualifications necessary for these professionals to handle Schedule II drugs safely and effectively.

Texas Constitutional Statutes Affected

Occupations Code

• Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
  • Section: 0511

Health And Safety Code

• Chapter 481. Texas Controlled Substances Act
  • Section: New Section

• Chapter 466. Regulation Of Narcotic Drug Treatment Programs
  • Section: New Section