88(R) SB 1700 - Introduced version - Bill Text
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A BILL TO BE ENTITLED
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AN ACT
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relating to the licensing and authority of advanced practice |
 
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registered nurses. |
 
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             BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
 
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ARTICLE 1. SHORT TITLE |
 
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             SECTION  1.001.    This Act may be cited as the Healthcare |
 
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Expanded and Accessed Locally for Texans (HEAL Texans) Act. |
 
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ARTICLE 2. ADVANCED PRACTICE REGISTERED NURSES |
 
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             SECTION  2.001.    Section 301.002, Occupations Code, is |
 
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amended to read as follows: |
 
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             Sec.  301.002.    DEFINITIONS. In this chapter: |
 
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                         (1)    "Advanced practice registered nurse" means a |
 
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registered nurse licensed by the board to practice as an advanced |
 
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practice registered nurse on the basis of completion of an advanced |
 
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educational program. The term includes a nurse practitioner, nurse |
 
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midwife, nurse anesthetist, and clinical nurse specialist. |
 
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                         (2)  [(1)]    "Board" means the Texas Board of Nursing. |
 
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                         (3)    [(1-a)]    "Chief nursing officer" means the |
 
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registered nurse who is administratively responsible for the |
 
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nursing services at a facility. |
 
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                         (4)    "Controlled substance" has the meaning assigned by |
 
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Section 481.002, Health and Safety Code. |
 
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                         (5)    "Dangerous drug" has the meaning assigned by |
 
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Section 483.001, Health and Safety Code. |
 
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                         (6)    "Device" has the meaning assigned by Section |
 
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551.003, and includes durable medical equipment. |
 
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                         (7)    "Nonprescription drug" has the meaning assigned by |
 
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Section 551.003. |
 
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                         (8)    "Nurse" means a person required to be licensed |
 
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under this chapter to engage in professional or vocational nursing. |
 
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                         (9)    "Nursing" means professional or vocational |
 
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nursing. |
 
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                         (10)    [(1-b)]    "Patient safety committee" has the |
 
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meaning assigned by Section 303.001. |
 
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                         (11)    "Prescribe or order a drug or device" has the |
 
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meaning assigned by Section 157.051. |
 
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                         (12)  [(2)]    "Professional nursing" means the |
 
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performance of an act that requires substantial specialized |
 
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judgment and skill, the proper performance of which is based on |
 
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knowledge and application of the principles of biological, |
 
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physical, and social science as acquired by a completed course in an |
 
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approved school of professional nursing.    The term does not include |
 
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acts of medical diagnosis or the prescription of therapeutic or |
 
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corrective measures, except as authorized for an advanced practice |
 
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registered nurse.    Professional nursing involves: |
 
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                                     (A)    the observation, assessment, intervention, |
 
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evaluation, rehabilitation, care and counsel, or health teachings |
 
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of a person who is ill, injured, infirm, or experiencing a change in |
 
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normal health processes; |
 
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                                     (B)    the maintenance of health or prevention of |
 
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illness; |
 
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                                     (C)    the administration of a medication or |
 
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treatment as ordered by a health care practitioner legally |
 
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authorized to prescribe the medication or treatment [physician, |
 
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podiatrist, or dentist]; |
 
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                                     (D)    the supervision or teaching of nursing; |
 
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                                     (E)    the administration, supervision, and |
 
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evaluation of nursing practices, policies, and procedures; |
 
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                                     (F)    [the requesting, receiving, signing for, and |
 
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distribution of prescription drug samples to patients at practices |
 
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at which an advanced practice registered nurse is authorized to |
 
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sign prescription drug orders as provided by Subchapter B, Chapter |
 
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157; |
 
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                                     [(G)]    the performance of an act by an advanced |
 
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practice registered nurse [delegated by a physician under Section |
 
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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 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)