Relating to the licensing and regulation of certain advanced practice registered nurses; authorizing a fee.
Impact
The bill's provisions will fundamentally modify existing regulations, expanding the scope of practice for APRNs and facilitating their role in delivering healthcare. This regulatory shift is expected to alleviate the burden on the medical system, particularly in rural areas where physician resources are scarce. By authorizing APRNs to prescribe medications and manage patient care independently, the legislation aims to improve patient outcomes, enhance satisfaction, and reduce healthcare delivery costs. This change is particularly crucial as Texas continues to face significant healthcare disparities among its population, especially in remote and underserved regions.
Summary
Senate Bill 3021, known as the Healthcare Expanded and Accessed Locally for Texans (HEAL Texans) Act, aims to enhance the licensing and regulation of advanced practice registered nurses (APRNs) in Texas. The bill seeks to authorize APRNs to operate with greater independence, which includes the delegation of prescriptive authority and the capacity to offer a wide range of medical services without stringent oversight from supervising physicians. The legislation emphasizes improving healthcare access for underserved populations by allowing APRNs to practice as independent medical providers in various settings, thereby addressing the growing health care needs across the state.
Contention
However, the bill has sparked debate among stakeholders. Advocates for the bill argue that empowering APRNs to practice independently is essential for expanding access to quality healthcare. Opponents, including some physician groups, express concerns over the potential risks of reduced supervision, arguing that patient safety could be compromised without sufficient oversight. The legislation also introduces provisions for the establishment of a Joint Independent Practice Committee to oversee the credentialing of APRNs seeking full practice authority, which may alleviate some concerns by providing a structured pathway for APRN licensure and regulation.
Texas Constitutional Statutes Affected
Occupations Code
Chapter 301. Nurses
Section: New Section
Chapter 157. Authority Of Physician To Delegate Certain Medical Acts
Section: 051
Section: 060
Chapter 563. Prescription Requirements; Delegation Of Administration And Provision Of Dangerous Drugs
Relating to authorizing the possession, use, cultivation, distribution, delivery, sale, and research of medical cannabis for medical use by patients with certain medical conditions and the licensing of medical cannabis organizations; authorizing fees.
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.
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.
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.