Bill > SB1859

This bill expands the scope of practice and regulatory framework for advanced practice registered nurses (APRNs) in Texas, primarily focusing on granting them more independent practice authority. The bill defines an advanced practice registered nurse as a registered nurse with advanced educational training, including nurse practitioners, nurse midwives, nurse anesthetists, and clinical nurse specialists. It creates a new pathway for APRNs to become licensed independent practitioners, allowing them to order and perform diagnostic tests, formulate medical diagnoses, treat health problems, prescribe medications (including controlled substances), provide referrals, and serve as primary care providers. To qualify for this expanded practice, APRNs must hold an active, unencumbered license, have national certification, possess a master's or doctoral degree, and complete specific academic coursework in physical assessment, advanced pharmacology, and advanced pathophysiology. The bill also mandates that certain government employee health plans reimburse APRNs at the same rate as physicians for services, with some requirements around documentation and supervision. Additionally, the bill makes numerous conforming amendments across various state codes to recognize the expanded role of APRNs, such as allowing them to prescribe medications, order medical equipment, and be considered healthcare providers in different contexts. The changes are set to take effect on September 1, 2025, with the Texas Board of Nursing required to adopt implementing rules by February 1, 2026.

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB1859