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Bill > HB1308

MS HB1308

MS HB1308
Registered nurses and advanced practice registered nurses; revise authority to delegate medication administration.

summary

Introduced
01/19/2026
In Committee
01/19/2026
Crossed Over
Passed
Dead
02/03/2026

Introduced Session

2026 Regular Session

Bill Summary

An Act To Authorize Registered Nurses And Advanced Practice Registered Nurses Licensed By The Board Of Nursing To Delegate Medication Administration To Unlicensed Assistive Personnel In Outpatient Clinic Settings For Patients With Stable And Predictable Health Conditions, Provided That Certain Conditions Are Met; To Require The Registered Nurse Or Advanced Practice Registered Nurse To Provide Direct, In-person Supervision Of The Unlicensed Assistive Personnel; To Provide That The Registered Nurse Or Advanced Practice Registered Nurse Retains The Accountability For The Total Nursing And Advanced Practice Nursing Care Of The Individual; To Require That The Delegation Of Medication Administration To Unlicensed Assistive Personnel Be Person-specific; To Require The Unlicensed Assistive Personnel To Be Adequately Trained For The Task, To Have Demonstrated That The Task Has Been Learned, To Be Able To Perform The Task Safely In The Given Nursing Situation, And To Have Appropriate Supervision Available During The Task Implementation; To Require That The Delegation Of Medication Administration To The Unlicensed Assistive Personnel Be An Established Policy Of The Practice Setting; To Prohibit A Registered Nurse Or Advanced Practice Registered Nurse From Delegating The Administration Of Certain Drugs And Agents; To Require Documented, Formal Training Of Unlicensed Assistive Personnel By A Registered Nurse Or Advanced Practice Registered Nurse In Order For The Nurse To Be Authorized By The Board To Delegate Medication Administration; To Amend Section 73-15-29, Mississippi Code Of 1972, To Provide That Violations Of This Act Are Grounds For The Board Of Nursing To Discipline A Nurse; And For Related Purposes.

AI Summary

This bill allows registered nurses (RNs) and advanced practice registered nurses (APRNs) to delegate the administration of certain medications to unlicensed assistive personnel (UAP) in outpatient clinic settings, provided the patient's health condition is stable and predictable, meaning it's not rapidly changing and doesn't require constant RN/APRN reassessment. This delegation is person-specific and requires the UAP to be adequately trained, demonstrate competency, and be able to perform the task safely under the direct, in-person supervision of the RN or APRN, who remains accountable for the patient's overall nursing care. The bill defines key terms like "medication administration" as preparing and giving a dose from a labeled container, "delegation" as entrusting tasks while retaining accountability, "direct supervision" as physical presence and oversight, and "outpatient clinic setting" as a non-residential facility for treatment. It explicitly prohibits the delegation of administering intravenous drugs, blood products, investigational drugs, chemotherapy, certain complex solutions, insulin, oxygen, controlled substances, anesthetics, and cosmetic agents. To be authorized to delegate, RNs and APRNs must ensure UAPs receive documented, formal training covering legal aspects, medical terminology, documentation, medication principles, administration techniques, and patient consent. Furthermore, the practice setting must have an established policy for such delegation, including procedures for reporting medication errors and documenting UAP training and competency, with annual reviews. Violations of this act will be grounds for the Board of Nursing to discipline RNs and APRNs.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Died In Committee (on 02/03/2026)

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