Bill > HB3794

This bill expands the scope of practice for advanced practice registered nurses (APRNs) in Texas, allowing them to practice more independently and prescribe a wider range of medications. Specifically, the bill creates a new category of APRNs who can practice as independent practitioners, giving them the ability to order diagnostic tests, make medical diagnoses, treat health problems, prescribe medications (including controlled substances), provide referrals, and serve as primary care providers. To qualify for this independent practice status, APRNs must meet rigorous requirements, including holding an active nursing license, having national certification, possessing a master's or doctoral degree, and completing specific academic coursework in advanced medical topics. The bill also requires the Texas Board of Nursing to establish rules for the application and authorization process for these independent APRNs. Additionally, the legislation mandates that certain government employee health plans reimburse independent APRNs at the same rate as physicians for healthcare services, with some specific documentation requirements. The changes will take effect on September 1, 2025, with the Board of Nursing required to adopt implementing rules by February 1, 2026. The bill represents a significant expansion of APRNs' professional autonomy and potential to address healthcare access and provider shortages in Texas.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB3794