Bill Text: TX HB1930 | 2023-2024 | 88th Legislature | Introduced
Bill Title: Relating to the administration of anesthesia by a certified registered nurse anesthetist on the order of a dentist.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2023-04-03 - Left pending in committee [HB1930 Detail]
Download: Texas-2023-HB1930-Introduced.html
88R6172 BEE-F | ||
By: Clardy | H.B. No. 1930 |
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relating to the administration of anesthesia by a certified | ||
registered nurse anesthetist on the order of a dentist. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 258.001, Occupations Code, is amended to | ||
read as follows: | ||
Sec. 258.001. IMPERMISSIBLE DELEGATIONS. A dentist may not | ||
delegate: | ||
(1) an act to an individual who, by board order, is | ||
prohibited from performing the act; | ||
(2) any of the following acts to a person not licensed | ||
as a dentist or dental hygienist: | ||
(A) the removal of calculus, deposits, or | ||
accretions from the natural and restored surfaces of exposed human | ||
teeth and restorations in the human mouth; | ||
(B) root planing or the smoothing and polishing | ||
of roughened root surfaces or exposed human teeth; or | ||
(C) any other act the delegation of which is | ||
prohibited by board rule; | ||
(3) any of the following acts to a person not licensed | ||
as a dentist: | ||
(A) comprehensive examination or diagnosis and | ||
treatment planning; | ||
(B) a surgical or cutting procedure on hard or | ||
soft tissue; | ||
(C) the prescription of a drug, medication, or | ||
work authorization; | ||
(D) the taking of an impression for a final | ||
restoration, appliance, or prosthesis; | ||
(E) the making of an intraoral occlusal | ||
adjustment; | ||
(F) direct pulp capping, pulpotomy, or any other | ||
endodontic procedure; | ||
(G) the final placement and intraoral adjustment | ||
of a fixed or removable appliance; or | ||
(H) the placement of any final restoration; or | ||
(4) the authority to an individual to administer a | ||
local anesthetic agent, inhalation sedative agent, parenteral | ||
sedative agent, or general anesthetic agent, including as a | ||
teledentistry dental service as that term is defined by Section | ||
111.001, if the individual is not licensed as: | ||
(A) a dentist with a permit issued by the board | ||
for the procedure being performed, if a permit is required; | ||
(B) a certified registered nurse anesthetist | ||
licensed by the Texas Board of Nursing[ |
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(C) a physician anesthesiologist licensed by the | ||
Texas Medical Board. | ||
SECTION 2. Subchapter D, Chapter 258, Occupations Code, is | ||
amended by adding Section 258.158 to read as follows: | ||
Sec. 258.158. ADMINISTRATION OF ANESTHESIA BY NURSE | ||
ANESTHETIST. (a) The board and the Texas Board of Nursing shall | ||
jointly adopt rules governing the administration of anesthesia by a | ||
certified registered nurse anesthetist on the order of a dentist. | ||
The rules must: | ||
(1) for each category under Section 258.155(a), | ||
establish standards and requirements for the administration of | ||
anesthesia by a certified registered nurse anesthetist on the order | ||
of a dentist who does not hold a permit in that category; and | ||
(2) authorize a dentist to order, and a certified | ||
registered nurse anesthetist to administer, anesthesia in | ||
accordance with the standards and requirements described by | ||
Subdivision (1). | ||
(b) Rules adopted under Subsection (a) do not apply to the | ||
administration of anesthesia: | ||
(1) in a licensed hospital or licensed ambulatory | ||
surgical center; or | ||
(2) by a certified registered nurse anesthetist acting | ||
under the delegated authority of a dentist who holds a permit to | ||
administer the anesthesia. | ||
SECTION 3. Not later than January 1, 2024, the State Board | ||
of Dental Examiners and the Texas Board of Nursing shall jointly | ||
adopt rules under Section 258.158, Occupations Code, as added by | ||
this Act. | ||
SECTION 4. This Act takes effect September 1, 2023. |