82R2191 NC-D
 
  By: Patrick S.B. No. 846
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the scope of practice of advanced practice nurses at
  certain sites serving medically underserved populations.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter H, Chapter 301, Occupations Code, is
  amended by adding Section 301.357 to read as follows:
         Sec. 301.357.  ADVANCED PRACTICE NURSES AT CERTAIN MEDICALLY
  UNDERSERVED SITES.  (a) In this section:
               (1)  "Advanced practice nurse" has the meaning assigned
  by Section 301.152.
               (2)  "Limited health services" means health services
  not requiring a medical diagnosis or the prescription of
  therapeutic or corrective measures.  The term includes
  immunizations, well child care, tuberculosis control, wellness
  screenings, epidemiologic investigations, and routine prenatal
  care.
               (3)  "Site serving a medically underserved population"
  has the meaning assigned by Section 157.052.
         (b)  At a site serving a medically underserved population, an
  advanced practice nurse may provide limited health services without
  the delegation or supervision of a physician required by Chapter
  157 or other law.
         (c)  To protect the public health and safety, the board shall
  adopt rules as necessary to determine the scope of practice of an
  advanced practice nurse under this section based on an advanced
  practice nurse's education and experience.
         SECTION 2.  Not later than January 1, 2012, the Texas Board
  of Nursing shall adopt the rules necessary to implement the changes
  in law made by this Act. The Texas Medical Board shall cooperate
  with the Texas Board of Nursing in the adoption of the rules to
  eliminate, to the extent possible, conflicts between the rules
  adopted by each board.
         SECTION 3.  (a) Except as provided by Subsection (b) of this
  section, this Act takes effect January 1, 2012.
         (b)  Section 2 of this Act takes effect September 1, 2011.