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SECTION 1. Sections
157.0512(e) and (f), Occupations Code, are amended to read as follows:
(e) A prescriptive authority
agreement must, at a minimum:
(1) be in writing and signed
and dated by the parties to the agreement;
(2) state the name, address,
and all professional license numbers of the parties to the agreement;
(3) state the nature of the
practice, practice locations, or practice settings;
(4) identify the types or
categories of drugs or devices that may be prescribed or the types or
categories of drugs or devices that may not be prescribed;
(5) provide a general plan
for addressing consultation and referral;
(6) provide a plan for
addressing patient emergencies;
(7) state the general
process for communication and the sharing of information between the
physician and the advanced practice registered nurse or physician assistant
to whom the physician has delegated prescriptive authority related to the
care and treatment of patients;
(8) if alternate physician
supervision is to be utilized, designate one or more alternate physicians
who may:
(A) provide appropriate supervision
on a temporary basis in accordance with the requirements established by the
prescriptive authority agreement and the requirements of this subchapter;
and
(B) participate in the
prescriptive authority quality assurance and improvement plan meetings
required under this section; and
(9) describe a prescriptive
authority quality assurance and improvement plan and specify methods for
documenting the implementation of the plan that include [includes]
the following:
(A) chart review, with the
number of charts to be reviewed determined by the physician and advanced
practice registered nurse or physician assistant; and
(B) periodic face-to-face meetings between the
advanced practice registered nurse or physician assistant and the physician
[at a location determined by the physician and the advanced practice
registered nurse or physician assistant].
(f) The periodic face-to-face meetings described by
Subsection (e)(9)(B) must:
(1) include:
(A) the sharing of
information relating to patient treatment and care, needed changes in
patient care plans, and issues relating to referrals; and
(B) discussion of patient
care improvement; [and]
(2) be documented;
and
(3) take place at the practice site at times determined
by the physician and the advanced practice registered nurse or physician
assistant [occur:
[(A) except as provided
by Paragraph (B):
[(i) at least monthly
until the third anniversary of the date the agreement is executed; and
[(ii) at least quarterly
after the third anniversary of the date the agreement is executed, with
monthly meetings held between the quarterly meetings by means of a remote
electronic communications system, including videoconferencing technology or
the Internet; or
[(B) if during the seven
years preceding the date the agreement is executed the advanced practice
registered nurse or physician assistant for at least five years was in a
practice that included the exercise of prescriptive authority with required
physician supervision:
[(i) at least monthly
until the first anniversary of the date the agreement is executed; and
[(ii) at least quarterly
after the first anniversary of the date the agreement is executed, with
monthly meetings held between the quarterly meetings by means of a remote
electronic communications system, including videoconferencing technology or
the Internet].
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SECTION 1. Sections
157.0512(e) and (f), Occupations Code, are amended to read as follows:
(e) A prescriptive authority
agreement must, at a minimum:
(1) be in writing and signed
and dated by the parties to the agreement;
(2) state the name, address,
and all professional license numbers of the parties to the agreement;
(3) state the nature of the
practice, practice locations, or practice settings;
(4) identify the types or
categories of drugs or devices that may be prescribed or the types or
categories of drugs or devices that may not be prescribed;
(5) provide a general plan
for addressing consultation and referral;
(6) provide a plan for
addressing patient emergencies;
(7) state the general
process for communication and the sharing of information between the
physician and the advanced practice registered nurse or physician assistant
to whom the physician has delegated prescriptive authority related to the
care and treatment of patients;
(8) if alternate physician
supervision is to be utilized, designate one or more alternate physicians
who may:
(A) provide appropriate
supervision on a temporary basis in accordance with the requirements
established by the prescriptive authority agreement and the requirements of
this subchapter; and
(B) participate in the
prescriptive authority quality assurance and improvement plan meetings
required under this section; and
(9) describe a prescriptive
authority quality assurance and improvement plan and specify methods for
documenting the implementation of the plan that include [includes]
the following:
(A) chart review, with the
number of charts to be reviewed determined by the physician and advanced
practice registered nurse or physician assistant; and
(B) periodic [face-to-face] meetings between
the advanced practice registered nurse or physician assistant and the
physician [at a location determined by the physician and the advanced
practice registered nurse or physician assistant].
(f) The periodic [face-to-face] meetings
described by Subsection (e)(9)(B) must:
(1) include:
(A) the sharing of
information relating to patient treatment and care, needed changes in
patient care plans, and issues relating to referrals; and
(B) discussion of patient
care improvement; [and]
(2) be documented;
and
(3) take place at least once a month in a manner
determined by the physician and the advanced practice registered nurse or
physician assistant [occur:
[(A) except as provided
by Paragraph (B):
[(i) at least monthly
until the third anniversary of the date the agreement is executed; and
[(ii) at least quarterly
after the third anniversary of the date the agreement is executed, with
monthly meetings held between the quarterly meetings by means of a remote
electronic communications system, including videoconferencing technology or
the Internet; or
[(B) if during the seven
years preceding the date the agreement is executed the advanced practice
registered nurse or physician assistant for at least five years was in a
practice that included the exercise of prescriptive authority with required
physician supervision:
[(i) at least monthly
until the first anniversary of the date the agreement is executed; and
[(ii) at least quarterly
after the first anniversary of the date the agreement is executed, with
monthly meetings held between the quarterly meetings by means of a remote
electronic communications system, including videoconferencing technology or
the Internet].
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