Bill Text: TX HB1190 | 2023-2024 | 88th Legislature | Comm Sub

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.

Spectrum: Bipartisan Bill

Status: (Engrossed - Dead) 2023-05-11 - Referred to Health & Human Services [HB1190 Detail]

Download: Texas-2023-HB1190-Comm_Sub.html
  88R23870 BEE-F
 
  By: Klick, Howard, Bonnen, et al. H.B. No. 1190
 
  Substitute the following for H.B. No. 1190:
 
  By:  Klick C.S.H.B. No. 1190
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the prescribing and ordering of Schedule II controlled
  substances by certain advanced practice registered nurses and
  physician assistants.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 157.0511(b-1), Occupations Code, is
  amended to read as follows:
         (b-1)  A physician may delegate the prescribing or ordering
  of a controlled substance listed in Schedule II as established by
  the commissioner of the Department of State Health Services under
  Chapter 481, Health and Safety Code, only:
               (1)  in a hospital facility-based practice under
  Section 157.054, in accordance with policies approved by the
  hospital's medical staff or a committee of the hospital's medical
  staff as provided by the hospital bylaws to ensure patient safety,
  and as part of the care provided to a patient who:
                     (A)  has been admitted to the hospital for an
  intended length of stay of 24 hours or greater; or
                     (B)  is receiving services in the emergency
  department of the hospital; [or]
               (2)  as part of the plan of care for the treatment of a
  person who has executed a written certification of a terminal
  illness, has elected to receive hospice care, and is receiving
  hospice treatment from a qualified hospice provider; or
               (3)  as part of a narcotic drug treatment program that
  has been issued a permit under Chapter 466, Health and Safety Code.
         SECTION 2.  Subchapter A, Chapter 562, Occupations Code, is
  amended by adding Section 562.017 to read as follows:
         Sec. 562.017.  CERTAIN PRESCRIPTIONS FOR CONTROLLED
  SUBSTANCES. A pharmacist practicing in a Class A pharmacy may
  dispense a controlled substance listed in Schedule II as
  established by the commissioner of state health services under
  Chapter 481, Health and Safety Code, that is prescribed by an
  advanced practice registered nurse or physician assistant to whom a
  physician has delegated prescribing and ordering authority under
  Section 157.0511(b-1).  The prescriber shall clearly note in the
  prescription records that the controlled substance listed in
  Schedule II is prescribed as part of the care provided:
               (1)  in a hospital facility-based practice described by
  Section 157.0511(b-1)(1);
               (2)  as part of a plan of care described by Section
  157.0511(b-1)(2); or
               (3)  as part of a narcotic drug treatment program
  described by Section 157.0511(b-1)(3).
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2023.
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