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INTRODUCED
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HOUSE COMMITTEE
SUBSTITUTE
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No
equivalent provision.
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SECTION 1. Subchapter B,
Chapter 204, Occupations Code, is amended by adding Section 204.060 to read
as follows:
Sec. 204.060.
ANESTHESIOLOGIST ASSISTANT ADVISORY COMMITTEE. (a) The anesthesiologist
assistant advisory committee consists of seven members appointed by the
presiding officer of the physician assistant board.
(b) The committee
consists of:
(1) four anesthesiologist
assistants; and
(2) three physician
anesthesiologists.
(c) The committee members
serve:
(1) at the will of the
presiding officer of the physician assistant board; and
(2) without compensation
or reimbursement for expenses incurred in the performance of duties as a
committee member.
(d) The committee shall:
(1) meet at the call of
the presiding officer of the physician assistant board; and
(2) provide
recommendations to the physician assistant board on matters related to the
regulation of anesthesiologist assistants as requested by the presiding
officer of the physician assistant board.
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No
equivalent provision.
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SECTION 2. The heading to
Section 204.102, Occupations Code, is amended to read as follows:
Sec. 204.102. POWERS AND
DUTIES OF MEDICAL BOARD RELATING TO PHYSICIAN ASSISTANTS AND
ANESTHESIOLOGIST ASSISTANTS.
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No
equivalent provision.
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SECTION 3. Section
204.102(a), Occupations Code, is amended to read as follows:
(a) The medical board shall
adopt rules consistent with this chapter to regulate:
(1) physician
assistants;
(2) [and]
physicians who supervise physician assistants;
(3) anesthesiologist
assistants; and
(4) physician
anesthesiologists who supervise anesthesiologist assistants.
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No
equivalent provision.
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SECTION 4. Section 204.151,
Occupations Code, is amended to read as follows:
Sec. 204.151. LICENSE
REQUIRED; EXCEPTION. (a) A person may not practice as a
physician assistant in this state unless the person holds a physician
assistant license issued under this chapter.
(b) An anesthesiologist
assistant is not required to obtain a license under this chapter and may
practice as an anesthesiologist assistant under the delegated authority of
a licensed physician.
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No
equivalent provision. (But see SECTION 1 below.)
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SECTION 5. Section
204.152(a), Occupations Code, is amended to read as follows:
(a) The physician assistant
board shall issue a physician assistant or anesthesiologist assistant
license to an applicant who:
(1) meets the eligibility
requirements of Section 204.153 or 204.1535, as applicable;
(2) submits an application
on a form prescribed by the board;
(3) pays the required
application fee;
(4) certifies that the
applicant is mentally and physically able to function safely as a physician
assistant; and
(5) submits to the board any
other information the board considers necessary to evaluate the applicant's
qualifications.
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No
equivalent provision.
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SECTION 6. The heading to
Section 204.153, Occupations Code, is amended to read as follows:
Sec. 204.153. ELIGIBILITY
REQUIREMENTS FOR PHYSICIAN ASSISTANT LICENSE.
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SECTION 1. Section
204.153(a), Occupations Code, is amended to read as follows:
(a) To be eligible for a
license under this chapter, an applicant must:
(1) successfully complete an
educational program for physician assistants, anesthesiologist assistants, or surgeon assistants
accredited by the Accreditation Review Commission on Education for the
Physician Assistant or the Commission on
Accreditation of [Committee
on] Allied Health Education Programs [and Accreditation]
or by those commissions' [that committee's]
predecessor or successor entities;
(2) pass the Physician
Assistant National Certifying Exam [Examination] administered
by the National Commission on Certification of Physician Assistants or the Certifying Examination for
Anesthesiologist Assistants administered by the National Commission for
Certification of Anesthesiologist Assistants;
(3) hold a certificate
issued by the National Commission on Certification of Physician Assistants or
the National Commission for
Certification of Anesthesiologist Assistants;
(4) be of good moral
character;
(5) meet any other
requirement established by physician assistant board rule; and
(6) pass a jurisprudence
examination approved by the physician assistant board as provided by
Subsection (a-1).
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SECTION 7. Section
204.153(a), Occupations Code, is amended to read as follows:
(a) To be eligible for a physician assistant license under
this chapter, an applicant must:
(1) successfully complete an
educational program for physician assistants or surgeon assistants
accredited by the Accreditation Review Commission on Education for the
Physician Assistant [Committee on
Allied Health Education and Accreditation] or by that commission's
[committee's] predecessor or successor entities;
(2) pass the Physician
Assistant National Certifying Examination administered by the National
Commission on Certification of Physician Assistants or the commission's successor entity;
(3) hold a certificate
issued by the National Commission on Certification of Physician Assistants or
the commission's successor entity;
(4) be of good moral
character;
(5) meet any other
requirement established by physician assistant board rule; and
(6) pass a jurisprudence
examination approved by the physician assistant board as provided by
Subsection (a-1).
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SECTION 2. Section 204.154,
Occupations Code, is amended to read as follows:
Sec. 204.154. EXEMPTIONS
FROM LICENSING REQUIREMENT FOR CERTAIN PHYSICIAN ASSISTANTS. A person is
not required to hold a license issued under this chapter to practice as:
(1) a physician assistant
student enrolled in a physician assistant, anesthesiologist assistant,
or surgeon assistant educational program accredited by the Accreditation
Review Commission on Education for the Physician Assistant or the
Commission on Accreditation of [Committee on] Allied Health
Education Programs [and Accreditation of the American Medical
Association] or by successor entities as approved and designated by
physician assistant board rule; or
(2) a physician assistant
employed in the service of the federal government while performing duties
related to that employment.
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No
equivalent provision.
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SECTION 3. Section
204.155(a), Occupations Code, is amended to read as follows:
(a) The physician assistant
board may issue a temporary license to an applicant who:
(1) meets all the
qualifications for a license under this chapter but is waiting for the
license to be issued at the next scheduled meeting of the board;
(2) seeks to temporarily
substitute for a licensed physician assistant during the license holder's
absence, if the applicant:
(A) is licensed or
registered in good standing in another state;
(B) submits an application
on a form prescribed by the board; and
(C) pays the appropriate fee
prescribed by the board; or
(3) has graduated from an
educational program for physician assistants, anesthesiologist
assistants, or surgeon assistants described by Section 204.153(a)(1)
not later than six months before applying for a temporary license and is waiting
for examination results from the National Commission on Certification of
Physician Assistants or the National Commission for Certification of
Anesthesiologist Assistants.
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No
equivalent provision.
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No
equivalent provision. (But see SECTION 1 above.)
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SECTION 8. Subchapter D,
Chapter 204, Occupations Code, is amended by adding Section 204.1535 to
read as follows:
Sec. 204.1535.
ELIGIBILITY REQUIREMENTS FOR ANESTHESIOLOGIST ASSISTANT LICENSE. To be
eligible for an anesthesiologist assistant license under this chapter, an
applicant must:
(1) successfully complete
an educational program for anesthesiologist assistants accredited by the
Commission on Accreditation of Allied Health Education Programs or by that
commission's predecessor or successor entities;
(2) pass the Certifying
Examination for Anesthesiologist Assistants administered by the National
Commission for Certification of Anesthesiologist Assistants or the
commission's successor entity;
(3) hold a certificate
issued by the National Commission for Certification of Anesthesiologist
Assistants or the commission's successor entity;
(4) be of good moral
character;
(5) meet any other
requirement established by physician assistant board rule; and
(6) pass a jurisprudence
examination approved by the physician assistant board that is comparable to
the examination under Section 204.153(a-1).
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No
equivalent provision.
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SECTION 9. Section 204.201,
Occupations Code, is amended to read as follows:
Sec. 204.201. NOTICE OF
INTENT TO PRACTICE. (a) Before beginning practice, each person [physician
assistant] licensed under this chapter shall submit on a form
prescribed by the physician assistant board notice of the license holder's
intent to practice. The notice must include:
(1) the name, business
address, license number, and telephone number of the license holder
[physician assistant]; and
(2) the name, business
address, Texas license number, and telephone number of the license
holder's [physician assistant's] supervising physician or
supervising physician anesthesiologist, as applicable.
(b) A license holder
[physician assistant] shall notify the physician assistant board of
any change in, or addition to, the person acting as a supervising physician
or supervising physician anesthesiologist, as applicable, [for
the physician assistant] not later than the 30th day after the date the
change or addition occurs.
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No
equivalent provision.
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SECTION 10. The heading to
Section 204.202, Occupations Code, is amended to read as follows:
Sec. 204.202. SCOPE OF
PRACTICE FOR PHYSICIAN ASSISTANT.
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No
equivalent provision.
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SECTION 11. Subchapter E,
Chapter 204, Occupations Code, is amended by adding Section 204.2025 to
read as follows:
Sec. 204.2025. SCOPE OF
PRACTICE FOR ANESTHESIOLOGIST ASSISTANT. (a) The practice of an
anesthesiologist assistant includes providing medical services delegated by
a supervising physician anesthesiologist that are within the education,
training, and experience of the anesthesiologist assistant.
(b) Medical services
provided by an anesthesiologist assistant may include:
(1) obtaining an
appropriate and accurate pre-anesthetic health history;
(2) performing an
appropriate physical examination and recording pertinent information in an
organized and legible manner;
(3) performing diagnostic
laboratory and related studies as appropriate, including drawing arterial
and venous blood samples;
(4) performing the
insertion of invasive monitoring modalities, including transesophageal
echocardiography probes, arterial lines, pulmonary artery catheters, and
central venous lines, as delegated by the supervising physician
anesthesiologist;
(5) administering
anesthetic agents and controlled substances, including administering induction
agents, maintaining and altering anesthesia levels, administering
adjunctive treatments, and providing continuity of anesthetic care into and
during the post-operative recovery period;
(6) establishing airway
interventions and performing ventilation support;
(7) applying, performing,
and interpreting advanced monitoring techniques;
(8) using advanced life
support techniques, including high frequency ventilation and intra-arterial
cardiovascular assist devices;
(9) monitoring patients
after the administration of anesthesia by recording patient progress notes,
compiling and recording case summaries, and transcribing standing and
specific orders;
(10) evaluating and
treating life-threatening situations, including performing cardiopulmonary
resuscitation, on the basis of established protocols, including basic life
support, advanced cardiac life support, and pediatric advanced life support
protocols; and
(11) performing duties in
intensive care units, pain clinics, and other settings, as delegated by the
supervising physician anesthesiologist.
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SECTION 4. Section 204.204,
Occupations Code, is amended by adding Subsection (b-1) to read as follows:
(b-1) Notwithstanding Subsection (b), an
anesthesiologist assistant must be supervised by a physician who is an anethesiologist and maintains a
physical proximity that enables the supervising physician anesthesiologist
to be immediately available if needed.
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SECTION 12. Section 204.204,
Occupations Code, is amended by adding Subsection (d) to read as follows:
(d) An anesthesiologist
assistant must be supervised by a supervising
physician anesthesiologist in the same manner that a physician assistant is
supervised by a supervising physician under Subsections (a), (b), and (c),
except that during the provision of any anesthesia service by an
anesthesiologist assistant, the supervising physician anesthesiologist
shall maintain a physical proximity that enables the supervising
physician anesthesiologist to be immediately available if needed.
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No
equivalent provision.
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SECTION 13. As soon as
practicable after the effective date of this Act, the presiding officer of
the Texas Physician Assistant Board shall appoint seven members to the
anesthesiologist assistant advisory committee in accordance with Section
204.060, Occupations Code, as added by this Act.
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SECTION 5. (a) Sections
204.153 and 204.155, Occupations Code, as amended by this Act, apply only
to an application for a license submitted to the Texas Physician Assistant
Board on or after the effective date of this Act. An application submitted
before the effective date of this Act is governed by the law in effect on
the date the application was submitted, and the former law is continued in
effect for that purpose.
(b) As soon as practicable
after the effective date of this Act, the Texas Physician Assistant Board
or Texas Medical Board, as appropriate, shall adopt rules necessary to
implement the changes in law made by this Act to Chapter 204, Occupations
Code.
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SECTION 14. (a) Sections 204.152
and 204.153, Occupations Code, as amended by this Act, and Section 204.1535, Occupations Code, as
added by this Act, apply only to an application for a license
submitted to the Texas Physician Assistant Board on or after the effective
date of this Act. An application submitted before the effective date of
this Act is governed by the law in effect on the date the application was
submitted, and the former law is continued in effect for that purpose.
(b) As soon as practicable
after the effective date of this Act, the Texas Physician Assistant Board
or Texas Medical Board, as appropriate, shall adopt rules necessary to
implement the changes in law made by this Act to Chapter 204, Occupations
Code.
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SECTION 6. This Act takes
effect September 1, 2017.
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SECTION 15. Same as
introduced version.
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