84R18474 TSR-D
 
  By: Davis of Harris H.B. No. 2267
 
  Substitute the following for H.B. No. 2267:
 
  By:  Crownover C.S.H.B. No. 2267
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the requirement to obtain a license to practice as an
  anesthesiologist assistant; providing an administrative penalty;
  authorizing fees.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle C, Title 3, Occupations Code, is
  amended by adding Chapter 207 to read as follows:
  CHAPTER 207. ANESTHESIOLOGIST ASSISTANTS
  SUBCHAPTER A. GENERAL PROVISIONS
         Sec. 207.001.  DEFINITIONS. In this chapter:
               (1)  "Anesthesiologist" means a physician licensed by
  the Texas Medical Board who specializes in anesthesiology.
               (2)  "Anesthesiologist assistant" means a person who
  holds a license issued under this chapter.
               (3)  "Medical board" means the Texas Medical Board.
  SUBCHAPTER B. POWERS AND DUTIES OF MEDICAL BOARD
         Sec. 207.051.  POWERS AND DUTIES OF MEDICAL BOARD RELATING
  TO ANESTHESIOLOGIST ASSISTANTS. (a) The medical board shall
  administer and enforce this chapter.
         (b)  The medical board:
               (1)  may establish requirements to obtain an
  anesthesiologist assistant license, including education and
  training requirements, in addition to the requirements under
  Section 207.103;
               (2)  may establish examination requirements for an
  anesthesiologist assistant license in addition to the requirements
  under Section 207.103;
               (3)  shall prescribe application requirements for a
  license to practice as an anesthesiologist assistant; and
               (4)  shall develop an approved program of mandatory
  continuing education and the manner by which attendance at all
  approved courses, clinics, forums, lectures, programs, or seminars
  is monitored and recorded.
         Sec. 207.052.  RULES. (a) The medical board shall adopt
  rules necessary to implement this chapter.
         (b)  The rules adopted by the medical board must include
  requirements and limitations on the provision of anesthesia
  services by an anesthesiologist assistant as determined by the
  medical board to be in the best interests of patient health and
  safety, including:
               (1)  a requirement that an anesthesiologist assistant
  be supervised by an anesthesiologist who is actively engaged in
  clinical practice and available on-site to provide assistance to
  the anesthesiologist assistant;
               (2)  a limit on the number of anesthesiologist
  assistants and student anesthesiologist assistants an
  anesthesiologist may supervise, in accordance with any
  requirements of the Centers for Medicare and Medicaid Services; and
               (3)  a requirement that an anesthesiologist assistant
  shall maintain compliance with all continuing education
  requirements adopted by the medical board and with recertification
  requirements of the National Commission for Certification of
  Anesthesiologist Assistants or its successor organization.
         Sec. 207.053.  FEES. The medical board shall set and collect
  fees in amounts that are reasonable and necessary to cover the costs
  of administering and enforcing this chapter without the use of any
  other funds generated by the medical board.
         Sec. 207.054.  APPLICABILITY OF OTHER LAW. Procedures under
  Subtitle B, Title 3, that govern license or registration renewal,
  complaints, and disciplinary actions apply to an anesthesiologist
  assistant in the same manner the provisions apply to a physician.
  SUBCHAPTER C. LICENSE REQUIREMENTS
         Sec. 207.101.  LICENSE REQUIRED. A person may not practice
  as an anesthesiologist assistant in this state unless the person
  holds an anesthesiologist assistant license issued under this
  chapter.
         Sec. 207.102.  ISSUANCE OF LICENSE. The medical board shall
  issue a license to an applicant who:
               (1)  meets the eligibility requirements of Section
  207.103;
               (2)  submits an application on a form prescribed by the
  medical board; and
               (3)  pays the required application and licensing fees.
         Sec. 207.103.  ELIGIBILITY REQUIREMENTS. To be eligible for
  a license under this chapter, an applicant must:
               (1)  submit proof of completion of a graduate level
  training program accredited by the Commission on Accreditation of
  Allied Health Education Programs or its successor organization;
               (2)  pass a certifying examination administered by the
  National Commission for Certification of Anesthesiologist
  Assistants or its successor organization not later than 12 months
  from the date of completion of the training program required under
  Subdivision (1);
               (3)  submit proof of current certification from the
  National Commission for Certification of Anesthesiologist
  Assistants or its successor organization;
               (4)  be of good moral character; and
               (5)  meet any additional qualifications adopted by the
  medical board by rule.
  SUBCHAPTER D. PRACTICE BY LICENSE HOLDER
         Sec. 207.151.  SCOPE OF PRACTICE. (a) An anesthesiologist
  assistant may assist the supervising anesthesiologist in
  developing and implementing an anesthesia care plan for a patient
  that is consistent with the rules adopted under this chapter.
         (b)  An anesthesiologist assistant who assists an
  anesthesiologist is not considered to be engaged in the practice of
  medicine.
         (c)  This chapter does not limit or expand the scope of
  practice of a physician assistant.
         Sec. 207.152.  USE OF TITLE. (a) A person may not use the
  title "anesthesiologist assistant" or represent that the person is
  an anesthesiologist assistant unless the person holds a license
  issued under this chapter.  A person who violates this subsection is
  subject to an administrative penalty in an amount to be determined
  by the medical board.
         (b)  A student in an anesthesiologist assistant training
  program shall be identified as a student anesthesiologist assistant
  or an anesthesiologist assistant student. A student may not use or
  permit to be used on the student's behalf the term "intern,"
  "resident," or "fellow," or another term that identifies the
  student as a physician or surgeon.
         SECTION 2.  Not later than June 1, 2016, the Texas Medical
  Board shall adopt the rules, procedures, and fees necessary to
  administer Chapter 207, Occupations Code, as added by this Act.
         SECTION 3.  Notwithstanding Chapter 207, Occupations Code,
  as added by this Act, an anesthesiologist assistant is not required
  to hold a license under that chapter to practice as an
  anesthesiologist assistant in this state before September 1, 2016.
         SECTION 4.  (a)  Except as provided by Subsection (b) of this
  section, this Act takes effect September 1, 2015.
         (b)  Sections 207.054, 207.101, and 207.152, Occupations
  Code, as added by this Act, take effect September 1, 2016.