SB00406I NP Roles Tx Bill 406 Essay

Submitted By ppuzzlefactory
Words: 6672
Pages: 27

By:AANelson

S.B.ANo.A406

A BILL TO BE ENTITLED
AN ACT

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relating

to

the

delegation

and

supervision

of

prescriptive

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authority by physicians to certain advanced practice registered

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nurses and physician assistants.

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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

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SECTIONA1.AAThe

heading

to

Subchapter

7

Occupations Code, is amended to read as follows:

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SUBCHAPTER B.

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AND PHYSICIAN ASSISTANTS

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B,

Chapter

157,

DELEGATION TO ADVANCED PRACTICE REGISTERED NURSES

SECTIONA2.AASection 157.051, Occupations Code, is amended to read as follows:
(1)AA"Advanced

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practice

registered

nurse"

has

the

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meaning assigned to that term by Section 301.152. The term includes

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an advanced nurse practitioner and advanced practice nurse.
(2)AA"Carrying

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out

or

signing

a

prescription

drug

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order" means completing a prescription drug order presigned by the

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delegating

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registered nurse or physician assistant.

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physician,

or

the

signing

of

a

prescription

by

a

(2-a) "Controlled substance" has the meaning assigned to that term by Section 481.002, Health and Safety Code.
(2-b3) "Dangerous drug" has the meaning assigned to that term by Section 483.001, Health and Safety Code.
(2-c4) "Health professional shortage area" means:
(A)AAan urban or rural area of this state that:

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S.B.ANo.A406
(i)AAis

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not

required

to

conform

to

the

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geographic boundaries of a political subdivision but is a rational

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area for the delivery of health service;
(ii)AAthe

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(iii)AAis

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adequately served area;

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(B)AAa

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of

health

and

human

services determines has a health professional shortage; and

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9

secretary

not

population

reasonably

group

that

accessible

the

to

an

secretary

of

health and human services determines has a health professional shortage; or
(C)AAa

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public

or

nonprofit

private

medical

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facility or other facility that the secretary of health and human

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services

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described by 42 U.S.C. Section 254e(a)(1).

determines

has

a

health

professional

as

(5)AA"Hospital" means:

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(A)AAa general hospital or a special hospital, as

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those

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terms

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maintained or operated by this state; or

are

defined

by

Section

241.003,

including

a

hospital

(B)AAa mental hospital licensed under Chapter 577.

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shortage,

(6)AA"Medication

order"

has

the

meaning

assigned

by

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Sections 551.003(24), Occupations Code and 481.002(28), Health and

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Safety Code.

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(7)AA"Nonprescription drug" has the meaning assigned by
Section 551.003(25).
(38) "Physician assistant" means a person who holds a license issued under Chapter 204.

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S.B.ANo.A406
(9)AA"Physician

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group

practice"

means

an

entity

for

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which two or more physicians deliver health care to the public

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through the practice of medicine on a regular basis and that is:
(A)AAowned and operated by two or more physicians;

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or

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(B)AAa freestanding clinic, center, or office of a

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nonprofit health organization certified by the board under Section

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162.001(b) that complies with the requirements of Chapter 162.
(10)AA"Practice

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medically

underserved

(A)AAa practice in a health professional shortage area; (B)AAa clinic designated as a rural health clinic

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a

population" means:

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serving

under 42 U.S.C.

Section 1395x(aa);

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(C)AAa public health clinic or a family planning

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clinic under contract with the Health and Human Services Commission

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or the Texas Department of State Health Services;
(D)AAa clinic designated as a federally qualified

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health clinic under 42 U.S.C. Section 1396d(1)(2)(B); or
(E)AAa practice:

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(i)AAthat is either:

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(a)AAlocated in an area in which the

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Texas Department of State Health Services determines there is an

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insufficient number of physicians providing services to eligible

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clients of federal, state, or…