authority by physicians to certain advanced practice registered
4
nurses and physician assistants.
5
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
6
SECTIONA1.AAThe
heading
to
Subchapter
7
Occupations Code, is amended to read as follows:
8
SUBCHAPTER B.
9
AND PHYSICIAN ASSISTANTS
10
11
B,
Chapter
157,
DELEGATION TO ADVANCED PRACTICE REGISTERED NURSES
SECTIONA2.AASection 157.051, Occupations Code, is amended to read as follows:
(1)AA"Advanced
12
practice
registered
nurse"
has
the
13
meaning assigned to that term by Section 301.152. The term includes
14
an advanced nurse practitioner and advanced practice nurse.
(2)AA"Carrying
15
out
or
signing
a
prescription
drug
16
order" means completing a prescription drug order presigned by the
17
delegating
18
registered nurse or physician assistant.
19
20
21
22
23
24
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:
1
S.B.ANo.A406
(i)AAis
1
not
required
to
conform
to
the
2
geographic boundaries of a political subdivision but is a rational
3
area for the delivery of health service;
(ii)AAthe
4
5
(iii)AAis
7
adequately served area;
8
(B)AAa
10
of
health
and
human
services determines has a health professional shortage; and
6
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
11
public
or
nonprofit
private
medical
12
facility or other facility that the secretary of health and human
13
services
14
described by 42 U.S.C. Section 254e(a)(1).
determines
has
a
health
professional
as
(5)AA"Hospital" means:
15
(A)AAa general hospital or a special hospital, as
16
17
those
18
terms
19
maintained or operated by this state; or
are
defined
by
Section
241.003,
including
a
hospital
(B)AAa mental hospital licensed under Chapter 577.
20
21
shortage,
(6)AA"Medication
order"
has
the
meaning
assigned
by
22
Sections 551.003(24), Occupations Code and 481.002(28), Health and
23
Safety Code.
24
25
26
27
(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.
2
S.B.ANo.A406
(9)AA"Physician
1
group
practice"
means
an
entity
for
2
which two or more physicians deliver health care to the public
3
through the practice of medicine on a regular basis and that is:
(A)AAowned and operated by two or more physicians;
4
5
or
6
(B)AAa freestanding clinic, center, or office of a
7
nonprofit health organization certified by the board under Section
8
162.001(b) that complies with the requirements of Chapter 162.
(10)AA"Practice
9
10
medically
underserved
(A)AAa practice in a health professional shortage area; (B)AAa clinic designated as a rural health clinic
13
14
a
population" means:
11
12
serving
under 42 U.S.C.
Section 1395x(aa);
15
(C)AAa public health clinic or a family planning
16
clinic under contract with the Health and Human Services Commission
17
or the Texas Department of State Health Services;
(D)AAa clinic designated as a federally qualified
18
19
health clinic under 42 U.S.C. Section 1396d(1)(2)(B); or
(E)AAa practice:
20
21
(i)AAthat is either:
22
(a)AAlocated in an area in which the
23
Texas Department of State Health Services determines there is an
24
insufficient number of physicians providing services to eligible
