Texas Senate Bill SB2695

Texas 2025 - 89th Regular

• Filed: 3/13/25
• Out of Senate Committee: 4/28/25
• Voted on by Senate: 5/1/25
• Out of House Committee: 5/22/25

Caption

Relating to an education program to enable certain students to practice medicine in certain rural counties and to physician delegation of certain medical acts to advanced practice registered nurses, including in certain rural counties.

Impact

The proposed legislation would create a Rural Admission Medical Program (RAMP) to support students from small counties aspiring to enter the medical field. It provides financial incentives such as scholarships and mentorship opportunities, aimed at increasing the number of healthcare providers in rural areas. Additionally, SB2695 supports policy changes that allow physicians to delegate specific medical tasks to APRNs, which is particularly critical in regions facing physician shortages. The bill is intended to facilitate a more efficient healthcare delivery model in these counties, ensuring better patient outcomes.

Summary

SB2695, titled the Texas Critically Underserved Relief and Enhancement Act (Texas Cure Act), aims to address healthcare shortages in rural counties by establishing an education program that enables certain students to practice medicine. It also focuses on the delegation of medical acts to advanced practice registered nurses (APRNs) in those underserved regions. The bill outlines a structured approach for the involvement of medical professionals in rural healthcare, particularly emphasizing the delegation and supervision agreements between physicians and nurse practitioners. This initiative seeks to enhance access to healthcare services in counties with populations under 30,000.

Sentiment

The sentiment regarding SB2695 appears to be generally positive among legislators advocating for improved healthcare access. Supporters laud the bill for its potential to address the pressing medical needs of rural populations, emphasizing the necessity of innovative solutions to combat healthcare disparities. However, there are concerns regarding the adequacy of supervision frameworks and the potential risk of compromising care quality through delegating significant medical responsibilities to APRNs without stringent oversight.

Contention

Debates around SB2695 highlight concerns about the implementation of the delegation system and the potential implications for patient safety. Critics argue that while increasing healthcare access is vital, the bill may not sufficiently delineate the responsibilities and accountabilities of all parties involved in patient care. Key points of contention include the adequacy of training for APRNs and whether the oversight mechanisms proposed would effectively protect patient interests. The discussions indicate a need for balancing access to care with ensuring quality healthcare standards are maintained.

Texas Constitutional Statutes Affected

Occupations Code

• Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
  • Section: 0512
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• Chapter 301. Nurses
  • Section: New Section

Education Code

• Chapter 51. Provisions Generally Applicable To Higher Education
  • Section: New Section
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