Texas 87th Legislature (2021) Status: Introduced
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HB2029 —

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  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 87th Legislature (2021). It reached “Introduced” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

How this bill changes current law

40 changes Share ↗

Compared against the Texas statutes as published AI-generated reading aid — verify against the official bill.

This bill amends 33 section(s) of the Texas statutes: Section 301.002, Occupations Code, Section 301.005(b), Occupations Code, Section 301.152, Occupations Code, Section 301.354(a), Occupations Code, Section 301.358, Occupations Code, Section 157.0511(b-2), Occupations Code.

  • Section 301.002, Occupations Code

    (1) (1-a) (1-b) (2) physician, podiatrist, or dentist the requesting, receiving, signing for, and distribution of prescription drug samples to patients at practices at which an advanced practice registered nurse is authorized to sign prescription drug orders as provided by Subchapter B, Chapter 157; (G) delegated by a physician under Section 157.0512, 157.054, 157.058, or 157.059 (H) (3) "Nurse" means a person required to be licensed under this chapter to engage in professional or vocational nursing. (4) "Nursing" means professional or vocational nursing. (5) → (1) "Advanced practice registered nurse" means a registered nurse licensed by the board to practice as an advanced practice registered nurse on the basis of completion of an advanced educational program. The term includes a nurse practitioner, nurse midwife, nurse anesthetist, and clinical nurse specialist. (2) (3) (4) "Controlled substance" has the meaning assigned by Section 481.002, Health and Safety Code. (5) "Dangerous drug" has the meaning assigned by Section 483.001, Health and Safety Code. (6) "Device" has the meaning assigned by Section 551.003, and includes durable medical equipment. (7) "Nonprescription drug" has the meaning assigned by Section 551.003. (8) "Nurse" means a person required to be licensed under this chapter to engage in professional or vocational nursing. (9) "Nursing" means professional or vocational nursing. (10) (11) "Prescribe or order a drug or device" has the meaning assigned by Section 157.051. (12) , except as authorized for an advanced practice registered nurse health care practitioner legally authorized to prescribe the medication or treatment by an advanced practice registered nurse (G) (13)

    amended

  • Section 301.005(b), Occupations Code

    or → , , or "advanced practice registered nurse"

    amended

  • Section 301.152, Occupations Code

    301.152 RULES REGARDING SPECIALIZED TRAINING In this section, "advanced practice registered nurse" means a registered nurse licensed by the board to practice as an advanced practice registered nurse on the basis of completion of an advanced educational program. The term includes a nurse practitioner, nurse midwife, nurse anesthetist, and clinical nurse specialist. The term is synonymous with "advanced nurse practitioner" and "advanced practice nurse." delegated a physician 157.0512 or 157.054 delegated a physician 157.0512 or 157.054 → 301.357 ADVANCED PRACTICE REGISTERED NURSES Advanced practice registered nursing includes: (1) ordering, performing, and interpreting diagnostic tests; (2) formulating primary and differential medical diagnoses and advanced assessments; (3) treating actual and potential health problems; (4) prescribing therapeutic and corrective measures, including nutrition and diagnostic support services, home health care, hospice care, physical therapy, and occupational therapy, and delegating and assigning the performance of therapeutic and corrective measures to assistive personnel; (5) to the extent authorized by the board under Section 301.358, prescribing, ordering, procuring, administering, and dispensing drugs and devices, including blood and blood products, controlled substances listed in Schedules II, III, IV, and V, dangerous drugs, and nonprescription drugs; (6) providing referrals to health care agencies, health care providers, and community resources; (7) serving as the primary care provider of record; and (8) performing other acts that require education and training consistent with professional standards and that are commensurate with the advanced practice registered nurse's education, licensure, and demonstrated competencies and experience. authorized the board 301.358 authorized the board 301.358 (e) An advanced practice registered nurse shall practice as a licensed independent practitioner in accordance with standards established and recognized by the board to protect the public health and safety. (f) An advanced practice registered nurse is accountable to patients, the nursing profession, and the board for: (1) complying with the requirements of this chapter; (2) providing quality advanced nursing care; (3) recognizing the nurse's limits of knowledge; (4) planning for the management of situations beyond the nurse's expertise; and (5) consulting with or referring patients to other health care providers as appropriate. (g) This section does not limit or modify the scope of practice of a registered nurse who is not an advanced practice registered nurse. (h) Notwithstanding any other law, an advanced practice registered nurse performing an act described by Subsection (a) is not considered to be practicing medicine without a license.

    amended

  • Section 301.354(a), Occupations Code

    is recognized by the board as and → is is registered

    amended

  • Section 301.358, Occupations Code

    Sec. 301.358. PRESCRIBING AND ORDERING AUTHORITY OF ADVANCED PRACTICE REGISTERED NURSE. (a) The board may authorize an advanced practice registered nurse to prescribe and order drugs and devices, including controlled substances listed in Schedules III, IV, and V, dangerous drugs, and nonprescription drugs. (b) Except as provided by Subsection (c), the board may authorize an advanced practice registered nurse to prescribe and order controlled substances listed in Schedule II only: (1) in a hospital facility-based practice 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 and is expected to remain in the hospital for a period of 24 hours or more; 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. (c) The board may authorize a certified registered nurse anesthetist practicing in an ambulatory surgical center to order drugs and devices necessary for the nurse anesthetist to administer an anesthetic or anesthesia-related service.

    added

  • ADVANCED PRACTICE REGISTERED NURSES AND

    amended

  • an advanced practice registered nurse or advanced practice registered nurse or → , as defined by Section 301.002, a

    amended

  • Section 157.0511(b-2), Occupations Code

    or advanced practice registered nurse

    amended

  • an advanced practice registered nurse or advanced practice registered nurse or , as applicable an advanced practice registered nurse or if applicable, the Texas Board of Nursing has approved the advanced practice registered nurse's authority to prescribe or order a drug or device as authorized under this subchapter; (2) advanced practice registered nurse or an advanced practice registered nurse or , as applicable, Texas Board of Nursing or the , as applicable, (3) advanced practice registered nurse or , the Texas Board of Nursing, , as applicable combined advanced practice registered nurses and advanced practice registered nurses and advanced practice registered nurses and advanced practice registered nurse or advanced practice registered nurse or advanced practice registered nurse or advanced practice registered nurse or advanced practice registered nurse or an advanced practice registered nurse or , advanced practice registered nurse, , the Texas Board of Nursing, , the Texas Board of Nursing, advanced practice registered nurse or advanced practice registered nurse's or advanced practice registered nurse or advanced practice registered nurses and → a a a (2) a

    amended

  • Section 157.0513, Occupations Code

    , the Texas Board of Nursing, , advanced practice registered nurse, boards advanced practice registered nurse or , the Texas Board of Nursing, , advanced practice registered nurses, , advanced practice registered nurse, or physician assistant physician, advanced practice registered nurse, and Texas Board of Nursing and the , advanced practice registered nurses, → board

    amended

  • or advanced practice registered nurses or advanced practice registered nurse or advanced practice registered nurse or advanced practice registered nurse limits advanced practice registered nurses or do advanced practice registered nurses or advanced practice registered nurse or → limit does

    amended

  • Section 157.055, Occupations Code

    advanced practice registered nurse and an advanced practice registered nurse or

    amended

  • Section 157.056, Occupations Code

    registered nurse or

    amended

  • or an advanced practice registered nurse recognized by the Texas Board of Nursing as a nurse midwife or nurse midwife's nurse midwife or nurse midwife or nurse midwives or nurse midwife or nurse midwife or , , or nurse midwife nurse midwife or : (1) further acts to a nurse midwife; or (2) or registered nurse → or

    amended

  • Section 157.060, Occupations Code

    or advanced practice registered nurse or advanced practice registered nurse or advanced practice registered nurse

    amended

  • Section 38.151(1), Education Code

    301.152 → to "advanced practice registered nurse" 301.002

    amended

  • Section 61.601, Education Code

    301.152 and (6) → 301.002 ; and (7)

    amended

  • Section 263.001(a)(1), Family Code

    157.051 → to "advanced practice registered nurse" 301.002

    amended

  • Section 266.001(1), Family Code

    157.051 → to "advanced practice registered nurse" 301.002

    amended

  • Section 531.0217(k), Government Code

    an advanced practice nurse or → a

    amended

  • Section 671.001(b), Government Code

    301.152 advanced practice registered nurse or → 301.002 if applicable,

    amended

  • Section 47.001(3), Health and Safety Code

    a registered nurse recognized as the Texas Board of Nursing → : (A) as defined Section 301.002, Occupations Code; (B)

    amended

  • Section 47.011(a), Health and Safety Code

    described by Section 301.152, Occupations Code

    amended

  • or or → , a , a

    amended

  • Section 241.003(1), Health and Safety Code

    means a registered nurse recognized as an advanced practice nurse by the Texas Board of Nursing → has the meaning assigned to "advanced practice registered nurse" by Section 301.002, Occupations Code

    amended

  • Section 481.002(39), Health and Safety Code

    an advanced practice registered nurse or → advanced practice registered nurse, advanced practice registered nurse, a

    amended

  • Section 481.074(d), Health and Safety Code

    and the Texas Board of Nursing

    amended

  • Section 481.076(c), Health and Safety Code

    and → , , and the Texas Board of Nursing

    amended

  • Section 481.0767(b), Health and Safety Code

    or advanced practice registered nurse → or an advanced practice registered nurse

    amended

  • registered nurse or or an advanced practice registered nurse or , registered nurse, , registered nurse, → a ; or (E) an advanced practice registered nurse authorized to prescribe and order drugs and devices under Section 301.358, Occupations Code

    amended

  • Section 483.022(f), Health and Safety Code

    an advanced practice nurse or → a , or of an advanced practice registered nurse

    amended

  • Section 483.042(a), Health and Safety Code

    or registered nurse or registered nurse or registered nurse or registered nurse or → , , or (E)

    amended

  • Section 32.024(gg), Human Resources Code

    regardless of whether the physician supervising the advanced practice registered nurse is included in any directory of providers of medical assistance maintained by the commission

    amended

  • Section 32.03141, Human Resources Code

    or , may order and prescribe durable medical equipment and supplies under the medical assistance program → in addition to other health care practitioners authorized by federal law, the following persons may order and prescribe durable medical equipment and supplies under the medical assistance program: (1) ; and (2) a

    amended

  • Section 843.312, Insurance Code

    or advanced practice nurse → REGISTERED or an advanced practice registered nurse, as defined by Section 301.002, Occupations Code, registered registered registered

    amended

  • Section 1301.001(1-a), Insurance Code

    and → , , and an advanced practice registered nurse

    amended

  • Section 1301.052, Insurance Code

    advanced practice nurse or → REGISTERED registered registered , as applicable registered registered

    amended

  • Section 1451.001(2), Insurance Code

    means an individual licensed by the Texas Board of Nursing as a registered nurse and recognized by that board as an advanced practice nurse → registered has the meaning assigned by Section 301.002, Occupations Code

    amended

  • Section 1451.104(c), Insurance Code

    registered

    amended

  • Section 1451.106, Insurance Code

    REGISTERED registered

    amended

Sponsorship breakdown

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0 sponsors · 0 co-sponsors · 184 not signed on

Sponsors (0)

None.

Co-sponsors (0)

None.

Not signed on (184)

184 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

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Frequently asked questions

What is the current status of HB2029?
This bill died with 87th Legislature (2021). It reached “Introduced” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB2029?
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