Texas 2025 - 89th Regular

Texas Senate Bill SB1859

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

Caption

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.

Impact

The bill enforces stricter guidelines for the prescribing authority of APRNs, ensuring they obtain appropriate licensing under state law. This initiative aims to streamline healthcare services and potentially alleviate burdens on the medical system by allowing APRNs greater autonomy in patient care. Proponents argue that this could lead to increased healthcare access, especially in underserved areas, where APRNs can practice without excessive supervision from physicians. However, the bill also establishes specific contexts where a physician must remain involved in the treatment decisions for patients attended by APRNs.

Summary

Senate Bill 1859 focuses on the licensing and regulation of advanced practice registered nurses (APRNs) in Texas. The bill introduces significant changes to how APRNs operate, particularly in the context of healthcare coverage and reimbursement. It clarifies the definitions related to APRNs, specifying their roles and responsibilities, which include nurse practitioners, nurse midwives, nurse anesthetists, and clinical nurse specialists. Furthermore, the bill aims to enhance the ability of APRNs to provide care independently within certain legislative frameworks, thereby expanding their professional capacity in Texas healthcare systems.

Contention

Notably, discussions around SB 1859 have revealed some contention regarding the balance between independent practice for APRNs and necessary physician oversight. Some lawmakers express concern that too much autonomy could lead to issues regarding patient safety and care quality, while supporters advocate for empowering APRNs to meet patient needs effectively without unnecessary bureaucratic hurdles. This ongoing debate reflects broader discussions in healthcare about scope of practice and collaborative care models, which are pivotal concerns in current legislative sessions.

Texas Constitutional Statutes Affected

Health And Safety Code

  • Chapter 773. Emergency Medical Services
    • Section: 0145

Human Resources Code

  • Chapter 32. Medical Assistance Program
    • Section: 024
    • Section: 03141
  • Chapter 42. Regulation Of Certain Facilities, Homes, And Agencies That Provide Child-care Services
    • Section: 067

Insurance Code

  • Chapter 843. Health Maintenance Organizations
    • Section: 312
  • Chapter 1551. Texas Employees Group Benefits Act
    • Section: New Section
  • Chapter 1575. Texas Public School Employees Group Benefits Program
    • Section: New Section
  • Chapter 1579. Texas School Employees Uniform Group Health Coverage
    • Section: New Section
  • Chapter 1601. Uniform Insurance Benefits Act For Employees Of The University Of Texas System And The Texas A&m University System
    • Section: New Section

Occupations Code

  • Chapter 301. Nurses
    • Section: New Section
    • Section: 303
  • Chapter 563. Prescription Requirements; Delegation Of Administration And Provision Of Dangerous Drugs
    • Section: 051
  • Chapter 605. Orthotists And Prosthetists
    • Section: 002
    • Section: 2515
  • Chapter 1701. Law Enforcement Officers
    • Section: 703

Companion Bills

TX HB3794

Identical 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.

Similar Bills

TX HB3794

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.

TX SB3021

Relating to the licensing and regulation of certain advanced practice registered nurses; authorizing a fee.

TX HB3395

Relating to the authority of advanced practice registered nurses practicing in certain areas.

TX SB3055

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.

TX HB4071

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

TX HB2532

Relating to the licensing and regulation of certain advanced practice registered nurses; authorizing a fee.

TX HB1792

Relating to the authority of certain advanced practice registered nurses.

TX SB2438

Relating to the authority of certain advanced practice registered nurses.