Relating to education programs to enable certain students and advanced practice registered nurses to practice medicine in certain rural counties and physician delegation of certain medical acts to advanced practice registered nurses and physician assistants.
In addition to its educational focus, SB2695 facilitates the delegation of certain medical acts to advanced practice registered nurses (APRNs) and physician assistants (PAs). Under the bill, physicians are allowed to supervise more APRNs and PAs in rural settings, increasing the total number from seven to nine. This change aims to alleviate physician shortages by allowing fewer physicians to supervise more healthcare providers. The bill also introduces additional loan repayment assistance for physicians who agree to practice in these rural areas, providing them with up to $45,000 for their medical school loans, contingent on fulfilling specific practice commitments.
Senate Bill 2695, known as the Texas Critically Underserved Relief and Enhancement Act (Texas Cure Act), focuses on improving healthcare access in rural counties in Texas with populations of less than 25,000. The bill establishes the Rural Admission Medical Program (RAMP), which aims to support the education of students who are pursuing a medical career in these underserved areas. RAMP will offer scholarships, summer stipends, and guaranteed admission to at least one participating medical school to eligible students from these counties. This initiative is designed to encourage aspiring healthcare professionals to serve in regions that often struggle to retain medical talent.
The primary points of contention surrounding SB2695 lie in balancing expansion of roles for APRNs and PAs with ensuring quality medical care. While proponents argue that empowering non-physician providers in rural settings will improve access to care, opponents express concerns regarding patient safety and the adequacy of training for non-physician providers. Additionally, as the bill establishes requirements for physicians to supervise these providers, debates have emerged regarding the implications of these supervisory relationships on healthcare delivery standards and patient outcomes. The effectiveness and oversight of the newly introduced loan repayment programs and their impact on long-term retention of medical professionals in rural areas is also a topic of discussion.
Occupations Code
Education Code