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House committee hears bill to grant APRNs independent practice for medical acts
By Jonathan Nelson
The long-anticipated scope of practice showdown of the 87th Texas Legislature took place Wednesday, March 24, in the House Committee on Public Health. Two TAFP members — Tina Philip, DO, of Austin, and Troy Fiesinger, MD, of Sugar Land — joined a number of physicians who provided in-person testimony against this session’s attempt to grant advanced practice registered nurses the ability to conduct medical acts without a delegation agreement with a physician.
House Bill 2029 by Rep. Stephanie Klick (R-Fort Worth) would allow APRNs to prescribe medications, order and evaluate diagnostic testing, and prescribe durable medical equipment, all without any physician collaboration. These actions are clearly defined as the practice of medicine under Texas law, yet the text of the bill states that should HB 2029 become law, an APRN performing one of these acts “is not considered to be practicing medicine without a license.”
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