89R26181 BEE-F
 
  By: Orr, Oliverson, Lalani, Howard, H.B. No. 3749
      VanDeaver, et al.
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the regulation of the provision of elective intravenous
  therapy.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  This Act shall be known as Jenifer's Law.
         SECTION 2.  Subtitle B, Title 3, Occupations Code, is
  amended by adding Chapter 172 to read as follows:
  CHAPTER 172. PROVISION OF ELECTIVE INTRAVENOUS THERAPY
  SUBCHAPTER A. GENERAL PROVISIONS
         Sec. 172.001.  DEFINITIONS. In this chapter:
               (1)  "Advanced practice registered nurse" has the
  meaning assigned by Section 301.152.
               (2)  "Elective intravenous therapy" means a procedure:
                     (A)  to administer fluids, nutrients,
  medications, or blood directly into a patient's bloodstream through
  a vein;
                     (B)  that is sought by the patient to alleviate
  symptoms of temporary discomfort or improve temporary wellness; and
                     (C)  that is not administered in:
                           (i)  a physician's office;
                           (ii)  a health facility licensed under
  Subtitle B, Title 4, Health and Safety Code;
                           (iii)  a mental hospital licensed under
  Chapter 577, Health and Safety Code; or
                           (iv)  a hospital maintained or operated by
  this state.
               (3)  "Physician assistant" means a person who holds a
  license issued under Chapter 204.
               (4)  "Registered nurse" means a person licensed by the
  Texas Board of Nursing to practice professional nursing.
  SUBCHAPTER B. ELECTIVE INTRAVENOUS THERAPY
         Sec. 172.051.  DELEGATION OF PRESCRIBING OR ORDERING
  ELECTIVE INTRAVENOUS THERAPY. (a) A physician may delegate the act
  of prescribing or ordering elective intravenous therapy to:
               (1)  a physician assistant acting under adequate
  physician supervision; or
               (2)  an advanced practice registered nurse acting under
  adequate physician supervision.
         (b)  A physician may delegate the act of administering
  elective intravenous therapy to:
               (1)  a physician assistant acting under adequate
  physician supervision; 
               (2)  an advanced practice registered nurse acting under
  adequate physician supervision; or
               (3)  a registered nurse acting under adequate physician
  supervision.
         (c)  A physician's authority to delegate the act of
  prescribing or ordering elective intravenous therapy is subject to
  Subchapter B, Chapter 157.
         (d)  A prescriptive authority agreement relating to elective
  intravenous therapy is included in the maximum number of
  prescriptive authority agreements authorized under Section
  157.0512(c). The exception provided in Section 157.0512(d) does
  not apply to a prescriptive authority agreement relating to
  elective intravenous therapy.
         SECTION 3.  The changes in law made by this Act apply to the
  performance of a medical act on or after the effective date of this
  Act under a physician's delegation, regardless of:
               (1)  the manner in which the delegation is made; and
               (2)  whether the delegation is made before, on, or
  after the effective date of this Act.
         SECTION 4.  This Act takes effect September 1, 2025.