UPDATE: We are in the final days of the 85th Regular Session. The full practice authority bills are dead, but the BON Sunset Bill passed, and two APRN bills, noted by hearts in the list below, could pass.
The 85th Texas Legislative Session began on January 10, 2017, and will end at midnight, May 29th. The Governor may sign or veto bills until midnight, June 18th. All bills not signed or vetoed, are automatically enacted on June 19th.
It is vital that all APRNs stay engaged throughout the legislative session and communicate with their legislators about the bills important to their practices. The following list includes bills that directly impact APRNs. Perferred bills supported by NLAC are noted in bold print.
- Full Practice Authority Bills (no change in controlled substances)
SB 681 by Sen. Kelly Hancock (R-SD#9-North Richland Hills) and Co-Authored by Sen. José Rodriquez (D-SD#29-El Paso)
HB 1415 by Reps. Stephanie Klick (R-HD#91-North Richland Hills), Donna Howard (D-HD#48-Austin), Drew Darby (R-HD#72-San Angelo), and Garnet Coleman (D-HD#147-Houston)
- Signature Authority Bills expand the health care documents or orders that APRNs may sign.
SB 431 by Sen. José Rodriquez (D- SD#29-El Paso)
♥SB 919 by Sen. José Rodriquez (D- SD#29-El Paso) allows APRNs and PAs to sign out-of-hospital DNR orders and file medical verifications for death certificates. (Update: This bill passed the Senate and was reported out of the House Public Health Committee on May 17th.)
HB 3857 by Rep. Coleman (D-HD#147-Houston) – SB 919 Companion.
- Pharmacists in Class A pharmacies may fill Schedule 2 Controlled Substance prescriptions signed by APRNs and PAs (This is a clean-up bill from SB 406 [Acts of 83rd Texas Legislature, 2013]).
SB 433 by Sen. José Rodriquez (D- SD#29-El Paso)
HB 1846 by Rep. Garnet Coleman (D-HD#147-Houston)(Update: This bill was sent to the House Calendars Committee on May 8th, and the companion bill was not heard in committee. Hopes are dim for this bill’s passage.)
- Managed care bills verify APRNs may be primary care providers in Medicaid managed care networks and providers in other HMOs & PPOs regardless of the delegating physician’s status in the network.
♥ SB 654 by Sen. Kel Seliger (R-SD#31-Amarillo) (Update: This bill now only applies to Medicaid & CHIP managed care plans, but it is through the Senate and is on the House Intent Calendar for May 21. Call or email your representative to vote for SB 654!)
HB 1225 by Reps. John Smithee (R-HD#86-Amarillo) and Donna Howard (D-HD#48-Austin)
HB 2807 by Rep. Four Price (R-HD#87-Amarillo). Same as above except only applies to APRNs in counties with no physician.
- Expand Practice Authority (FPA) for specific groups of APRNs.
SB 831 by Sen. José Rodriquez (D- SD#29-El Paso) allows APRNs who are military active duty, or veterans who were APRNs while on active duty, to prescribe without physician delegation.
HB 1804 by Reps. César Blanco (D-HD# 76-El Paso) & Diego Bernal (D-HD#123-San Antonio) – Companion to SB 831.
HB 3395 by Rep. Four Price (R-HD#87-Amarillo) permits APRNs in counties with no physicians to have full practice authority.
- Other bills impacting prescriptive authority
HB 3406 by Oliverson (R-HD#130-Cypress [NW Harris County]) would not permit physicians to charge for delegating prescriptive authority to an APRN or PA. (Beware, this bill would make it almost impossible for APRNs to find a physician willing to delegate prescriptive unless employed by a physician, physician group, long-term care facility or hospital.)
- BON Sunset Bill
SB 305 by Sen. Chuy Hinojosa (D-SD#20-McAllen)
HB 2950 by Rep. Cindy Burkett (R-HD#113-Garland) (Update: On May 19th, the Sunset Bill passed the Senate. The bill was amended in the Senate. The House will need to concur with the Senate version or the bill will go to a conference committee.)
To find your state representative and state senator, click here and enter your full street address and zip code.
CNAP is a member of the Nursing Legislative Agenda Coalition (NLAC). Through NLAC, CNAP receives Texas Nurses Association (TNA) Nursewatch. Nursewatch updates Texas nurses on activities at the Capitol that occurred the previous week, and includes bills that will be heard in upcoming health care committees. CNAP thanks TNA for granting permission to post these updates. Each issue is posted by date of publication. Select the link to access the update. As the session proceeds, check this post often for other important events as they occur.
May 15, 2017 – Over 5,000 bills filed by Texas Legislators are officially dead, but there is still hope for a few nursing bills. Click Here to get details.
May 1, 2017 – Click Here for highlights of the APRN bill hearings on April 25th, and important nursing bills for this week, including the BON Sunset Bill.
April 17, 2017 – Bills are starting to move rapidly now so Click Here to see what is happening to some of the bills important to nursing.
April 3, 2017 – The anesthesiologist licensing bill that nursing opposes, HB 2525 by Chairman John Zerwas, is being heard in the House Licensing & Administrative Procedures Committee. Two bills nursing supports, the BON Sunset Bill and HB 1076 on spinal screening are on Tuesday’s House Public Health agenda. To read more, Click Here.
March 20, 2017 – Click Here for bills to be heard by Senate Health & Human Services Committee on Monday & Wednesday, and House Public Health Committee on Tuesday. Two bills
March 13, 2017 – The bill filing deadline was March 10th and 6,485 bills have been filed. To read more, Click Here.
March 6, 2017 – Lists bills that will be heard in House Public Health committee this Tuesday, and Senate Health & Human Services on Wednesday.
February 21, 2017 – SB 681 was referred to Senate Health & Human Services Committee on 2/15/17.
February 14, 2017 – Last Thursday’s press conference about APRN full practice authority bills, H.B. 1415/S.B. 681, generated a press coverage throughout the state. This Nursewatch includes links to those news items.
February 9, 2017 – Check out the press conference on APRN full practice authority bills on TNA’s Facebook page.
February 6, 2017 – The APRN full practice authority bills filed in House & Senate. Press conference scheduled Thursday, February 9th at 9:30 A.M.
January 23, 2017 – The hot topic in the first weeks of the legislative session was the Budget. Find the opening House and Senate proposals for appropriations important to nursing. Senate committees were appointed.