2023S0248-T 03/06/23
	By: Blanco	S.B. No. 1700

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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 504.001, Family Code 266.001, Government Code 531.0217, 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, Health and Safety Code 483.042, Human Resources Code 32.024, Human Resources Code 32.03141, Insurance Code 843.312, Insurance Code 1301.052, Insurance Code 1451.001, Insurance Code 1451.104, Insurance Code 1451.106, Insurance Code 1452.051, Labor Code 408.025, Occupations Code 203.002, Occupations Code 204.1025, Occupations Code 157.0511, Occupations Code 605.002, Occupations Code 605.2515 (Labor Code 408, Occupations Code 203, Family Code 266, Health and Safety Code 301, Health and Safety Code 157, Insurance Code 1451, Government Code 531, Health and Safety Code 481, Health and Safety Code 483, Occupations Code 301, Education Code 38, Occupations Code 157, Insurance Code 843, Occupations Code 605, Occupations Code 204, Government Code 671, Health and Safety Code 241, Insurance Code 1301, Health and Safety Code 47, Human Resources Code 32, Insurance Code 1452, Family Code 504)

	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
	157.0512, 157.054, 157.058, or 157.059]; and
	(G) [(H)]  the development of the nursing care
	plan[.
	[(3)  "Nurse" means a person required to be licensed
	under this chapter to engage in professional or vocational
	nursing].