The bill, H.B. No. 3749, aims to regulate the practice of medicine in Texas, specifically focusing on cosmetic medical procedures and elective intravenous therapy. It introduces two new chapters to the Occupations Code: Chapter 172, which establishes guidelines for medical spas, and Chapter 173, which outlines provisions for elective intravenous therapy. Key provisions include the definition of a "medical spa" as a facility where cosmetic procedures are performed, the requirement for a medical spa to have a medical director who is a trained physician, and the stipulation that cosmetic medical procedures cannot be performed without a physician's presence or proper delegation. Additionally, the bill mandates that non-physician providers must be trained and supervised by a physician to perform these procedures.

The bill also specifies that a physician may delegate the act of prescribing or ordering elective intravenous therapy to a physician assistant or registered nurse under adequate supervision. It emphasizes that training provided by vendors or manufacturers does not meet the necessary qualifications for performing cosmetic medical procedures. The changes in law will apply to medical acts performed under a physician's delegation on or after the effective date of the Act, which is set for September 1, 2025.

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