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Amend CSSB 985 by inserting the following language as Section
2 and appropriately renumbering the existing language as follows:
(1) SECTION 2. Sections 157.0541(a), (c), and (e),
Occupations Code, are amended to read as follows:
(a) In this section, "alternate site" means a practice site:
(1) where services similar to the services provided at
the delegating physician's primary practice site are provided; and
(2) located within 75 [60] miles of the delegating
physician's primary practice site.
(c) Physician supervision is adequate for the purposes of
this section if the delegating physician:
(1) [is on site with the advanced practice nurse or
physician assistant at least 20 percent of the time;
[(2)] reviews at least 10 percent of the medical
charts from [at] the site; and
(2) [(3)] is available through direct
telecommunication for consultation, patient referral, or
assistance with a medical emergency.
(e) The combined number of advanced practice nurses and
physician assistants to whom a physician may delegate under this
section and at a primary practice site under Section 157.053 may not
exceed six [three] physician assistants or advanced practice nurses
or the full-time equivalent of six [three] physician assistants or
advanced practice nurses.