HB 1948

AN ACT relating to the prescribing and ordering of Schedule II controlled

House Bill • Howard | Oliverson

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Committee

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Governor

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Passed Committee

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Sent to Other Chamber

Passed Both Chambers

Sent to Governor

Signed into Law

89th Regular Session

Jan 14, 2025 - Jun 2, 2025 • Session ended

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What This Bill Does

Modifies rules for advanced practice registered nurses (APRNs) prescribing controlled substances in Texas. It allows APRNs to prescribe Schedule II controlled substances under specific conditions: prescriptions cannot exceed 90 days, require physician consultation for refills and prescriptions for children under two, and the consultation must be documented in the patient's medical chart. The changes expand prescription authority for APRNs while maintaining physician oversight, potentially improving patient access to necessary medications.

Subject Areas

PHYSICIAN ASSISTANTS Occupational Regulation--Health Occupations NURSES & NURSE AIDES MEDICINE & PRESCRIPTION DRUGS STATE HEALTH SERVICES, DEPARTMENT OF

Bill Text

relating to the prescribing and ordering of Schedule II controlled
substances by certain advanced practice registered nurses and
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Sections 157.0511(a) and (b), Occupations Code,
are amended to read as follows:
(a)  A physician's authority to delegate the prescribing or
ordering of a drug or device under this subchapter is limited to:
(3)  controlled substances to the extent provided by
Subsection [Subsections] (b) [and (b-1)].
(b)  A [Except as provided by Subsection (b-1), a] physician
may delegate the prescribing or ordering of a controlled substance
(1)  the prescription is for a controlled substance
listed in Schedule II, III, IV, or V as established by the
commissioner of state health services [the Department of State
Health Services] under Chapter 481, Health and Safety Code;
(2)  the prescription, including any [a] refill of the
prescription, is for a period not to exceed 90 days;
(3)  with regard to the refill of a prescription, the
refill is authorized after consultation with the delegating
physician and the consultation is noted in the patient's chart; and
(4)  with regard to a prescription for a child less than
two years of age, the prescription is made after consultation with
the delegating physician and the consultation is noted in the
SECTION 2.  Section 157.0511(b-1), Occupations Code, is
SECTION 3.  This Act takes effect September 1, 2025.