88(R) SB 1700 - Introduced version - Bill Text
  2023S0248-T 03/06/23
 
  By:  Blanco S.B.  No.  1700
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the licensing and authority of advanced practice
  registered nurses.
               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
  ARTICLE 1. SHORT TITLE
               SECTION  1.001.    This Act may be cited as the Healthcare
  Expanded and Accessed Locally for Texans (HEAL Texans) Act.
  ARTICLE 2. ADVANCED PRACTICE REGISTERED NURSES
               SECTION  2.001.    Section 301.002, Occupations Code, is
  amended to read as follows:
               Sec.  301.002.    DEFINITIONS. In this chapter:
                           (1)    "Advanced practice registered nurse" means a
  registered nurse licensed by the board to practice as an advanced
  practice registered nurse on the basis of completion of an advanced
  educational program. The term includes a nurse practitioner, nurse
  midwife, nurse anesthetist, and clinical nurse specialist.
                           (2)  [(1)]    "Board" means the Texas Board of Nursing.
                           (3)    [(1-a)]    "Chief nursing officer" means the
  registered nurse who is administratively responsible for the
  nursing services at a facility.
                           (4)    "Controlled substance" has the meaning assigned by
  Section 481.002, Health and Safety Code.
                           (5)    "Dangerous drug" has the meaning assigned by
  Section 483.001, Health and Safety Code.
                           (6)    "Device" has the meaning assigned by Section
  551.003, and includes durable medical equipment.
                           (7)    "Nonprescription drug" has the meaning assigned by
  Section 551.003.
                           (8)    "Nurse" means a person required to be licensed
  under this chapter to engage in professional or vocational nursing.
                           (9)    "Nursing" means professional or vocational
  nursing.
                           (10)    [(1-b)]    "Patient safety committee" has the
  meaning assigned by Section 303.001.
                           (11)    "Prescribe or order a drug or device" has the
  meaning assigned by Section 157.051.
                           (12)  [(2)]    "Professional nursing" means the
  performance of an act that requires substantial specialized
  judgment and skill, the proper performance of which is based on
  knowledge and application of the principles of biological,
  physical, and social science as acquired by a completed course in an
  approved school of professional nursing.    The term does not include
  acts of medical diagnosis or the prescription of therapeutic or
  corrective measures, except as authorized for an advanced practice
  registered nurse.    Professional nursing involves:
                                       (A)    the observation, assessment, intervention,
  evaluation, rehabilitation, care and counsel, or health teachings
  of a person who is ill, injured, infirm, or experiencing a change in
  normal health processes;
                                       (B)    the maintenance of health or prevention of
  illness;
                                       (C)    the administration of a medication or
  treatment as ordered by a health care practitioner legally
  authorized to prescribe the medication or treatment [physician,
  podiatrist, or dentist];
                                       (D)    the supervision or teaching of nursing;
                                       (E)    the administration, supervision, and
  evaluation of nursing practices, policies, and procedures;
                                       (F)    [the requesting, receiving, signing for, and
  distribution of prescription drug samples to patients at practices
  at which an advanced practice registered nurse is authorized to
  sign prescription drug orders as provided by Subchapter B, Chapter
  157;
                                       [(G)]    the performance of an act by an advanced
  practice registered nurse [delegated by a physician under Section
 

Statutes affected:
Introduced: Occupations Code 301.002, Occupations Code 301.005, Occupations Code 301.354, Occupations Code 157.051, Occupations Code 157.0512, Occupations Code 157.0513, Occupations Code 157.054, Occupations Code 157.055, Occupations Code 157.056, Occupations Code 157.059, Occupations Code 157.060, Education Code 38.151, Family Code 301.002, Government Code 301.002, Government Code 671.001, Health and Safety Code 47.001, Health and Safety Code 47.011, Health and Safety Code 301.152, Health and Safety Code 241.003, Health and Safety Code 481.002, Health and Safety Code 157.0511, Health and Safety Code 481.076, Health and Safety Code 481.0767, Health and Safety Code 483.001, Health and Safety Code 483.022, Human Resources Code 32.024, Human Resources Code 32.03141, Insurance Code 843.312, Insurance Code 1301.052, Insurance Code 1451.001, Insurance Code 1451.106, Insurance Code 1452.051, Labor Code 301.002, Occupations Code 203.002, Occupations Code 204.1025, Occupations Code 551.003, Occupations Code 157.0511, Occupations Code 605.002, Occupations Code 605.2515 (Occupations Code 551, Government Code 671, Insurance Code 1451, Health and Safety Code 241, Education Code 38, Health and Safety Code 481, Occupations Code 157, Health and Safety Code 47, Occupations Code 204, Family Code 301, Government Code 301, Insurance Code 1301, Human Resources Code 32, Occupations Code 605, Health and Safety Code 157, Occupations Code 301, Health and Safety Code 301, Labor Code 301, Insurance Code 1452, Insurance Code 843, Occupations Code 203, Health and Safety Code 483)