Status of Bills Implementing Or Directly Related to 2015 Nursing Legislative Agenda

Updated 4/16/2015 5:30p

STATUS OF BILLS IMPLEMENTING OR DIRECTLY RELATED TO 2015 NURSING LEGISLATIVE AGENDA

Blue denotes legislative initiates of TNA or other nursing organizations Purple denotes bills by others that nursing supports Orange denotes bills opposed Tan denotes are questions about bill that need to be resolved before position taken Gold denotes action in past week Yellow denotes upcoming action

Green denotes bills passed

Large Bold Font denotes which companion bill (SB or HB) is expected to be bill most actively pursued

Abbreviations: See End of Table for Explanations of Abbreviations Bill Version: cs –Committee Substitute; ca - Committee Amendment; a – Amendment; Committee Actions: Hearing set; Action pend; Ref Subcom; Voted fav; Rept’d fav; Recm’d Loc Floor Action: Set Reg Cal; Set Loc Cal; Set Intent Cal; Passed Reg; Passed Loc; Pulled Loc Conference Committee: None; Hse Appt; Sen Appt; Pending; Rpt Filed; Adopted Governor Action: Sent to Gov, Signed; Fil wo sgn; Vetoed

Bill No. & Author Description 1st Committee Floor 2nd Committee Floor Concur or Governor Chamber Action Action Chamber Action Action Conference Action

A. WORKPLACE

1. Reducing Violence Against Nurses

3/16 HB 2695 Requires reporting of incidents of violence Refer’d NOTE: HB 2696 will be the bill that will be moved and this bill (HB2695) will be allowed to die. within facility an aggregate reports to DSHS D. Howard PubHealth

Mandates DSHS study and authorizes DSHS to 3/16 HB 2696 4/14 make grants Refer’d Action pend D. Howard PubHealth

Requires hospitals to have violence prevention 3/17 SB 1160 plan. Refer’d Whitmire Companions: HB 4110 HHS

HB 4110 Companions: SB 1160 3/23

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Refer’d Dutton PubHealth

2. Disclosing Identity of Nurses Reporting Physicians to TMB

Requires TMB provide reported physician and SB 1813 un-redacted copy of complaint. Since 3/25 Kolkhorst anonymous complaints not allowed, complaint Refer’d (OPPOSED) will include complainant’s identity. HHS Companion: HB 4008

HB 4008 3/23 Zerwas Companions: SB 1813 Refer’d (OPPOSED) PubHealth

B. Workplace Injury Claims

Addresses Tx Sup Ct case holding certain claims for workplace injuries be treated as 3/2 4/14 HB 956 healthcare liability claims rather than Refer’d Hearing Set C.Turner workplace injury claims. Not limited to JudCivJur Not heard employees Related Legislation HB 1403 by Sheets

Addresses Tx Sup Ct case holding certain claims for workplace injuries be treated as 3/9 HB 1403 4/14 healthcare liability claims rather than Refer’d Sheets Action pend workplace injury claims. Limited to employees. JudCivJur Related Legislation: HB 956 by C.Turner

C. SCHOOL NURSES & SCHOOL HEALTH

1. Notification if No Nurse Assigned to Child’s School

1/26 SB 69 Requires schools to notify parents if no school 4/15 Refer’d Ellis nurse on campus fulltime Rept’d fav Educ

HB 1938 Companion: SB 69 3/11 Coleman Refer’d

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2. Scoliosis Screening

3/17 HB 2323 Changes grades in which schools mandated to 4/14 Refer’d Blanco do screenings Action Pend PubEd

3. Qualifications Of School Nurse

3/12 HB 1729 Requires that nurses employed by public Refer’d Pena schools be BSN prepared PubEd

D. APRN Practice

1. Participation in Networks

3/17 HB 3398 APRN in networks w/o delegating physician Refer’d Companion: SB 1980 Paddie Ins

3/25 SB 1980 Companion: HB 3398 Refer’d Garcia HHS

2. Prescribing CS IIs

CS IIs: 1) palliative care & mental illness, 2) 3/16 4/14 HB 2602 hydrocodone-containing meds, 3) community Refer’d CS pharmacy filing of discharge prescriptions Coleman PubHealth Action pend Companion: None

3/19 HB 3632 CS IIs: palliative care Refer’d Companion: None Zerwas PubHealth

3. Signing Forms and Documentation

HB 1473 Omnibus bill covering signing of multiple types 3/5 Bell of forms by both APRNs and PAs Refer’d

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Companion: None PubHealth

Omnibus bill covering signing of multiple types HB 1185 3/3 of forms by APRNs only PubHealth Bell Companion: None

3/23 HB 3912 APRNs signing death certificates Refer’d Companion: None Phelan PubHealth

2/10 SB 466 APRNs signing jury duty exemptions Refer’d Companion: HB 3913 Rodriquez StateAffairs

3/23 HB 3913 Companion: SB 466 Refer’d Phelan JudCivJur

4. Full Practice Authority

Grants APRNs full practice authority, including 3/11 HB 1885 prescribing, under nursing license Refer’d Bell Companion: SB 751 PubHealth

3/2 SB 751 Companion: HB 1885 Refer’d Rodriquez/Burton HHS

5. Synchronization of APRN Licensing and CS Registration

Synchronizes APRN license renewal and 1/27 SB 196 controlled substance registration Refer’d Schwertner Companion: HHS

7. PAs Completing Worker Comp Forms

Authorizes PAs to sign worker comp forms as 3/23 SB 1572 agents of physician Refer’d Uresti Companion: HB 3833 BusCom

3/23 HB 3833 Companion: SB 1572 Refer’d Coleman BusInd

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E. NPA AMENDMENTS & REGULATION OF NURSING

1. RNs Administer Meds Ordered by Therapeutic Optometrist

Amends definition of professional nursing to HB 2129 add therapeutic optometrists to list of 3/13 Klick practitioners on whose orders RNs can Refer’d administer medications PubHealth Companion: SB 1111

3/16 SB 1111 Companion: HB2129 Refer’d Burton HHS

2. Disciplinary Process

3/23 HB 3974 Provides process for expunction of certain Refer’d 4/21 Darby disciplinary records after period of time PubHealth Hearing set

3/23 HB 3981 Provides option for SOAH decisions to be final Refer’d Darby decision LicAdmProc

3/2 HB 998 Requires DSHS to report certain practitioners Refer’d Y.Davis to licensing board PubHealth

3. Identification of Practitioners

Set identification requirements for 3/16 4/14 HB 2897 practitioners associated with a hospital Refer’d CS/a S.Davis Companion: SB 1753 PubHealth Voted fav

3/24 4/9 4/15 SB 1753 4/16 Companion: HB 2897 Refer’d CS CS/a Campbell Rcvd in House HHS Voted fav Passed 4. BON Appropriations

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BON exceptional item requests – 1) staff, 2) HB 1 - Appro Bill 2/9 3/24 4/1 4/7 4/9 4/14 legal resources , 3) exec dir salary Article VIII Filed CS CS/a Refer’d CS CS Companion: SB 1 Otto Appro Rept’d Fav Passed Reg Finance Rept’d Reg Passed Conferees:

SB 2–Appro Bill, 1/27 3/25 Article VIII Companion: HB 1 Refer’d Action pend Nelson Finance

F. NURSING WORKFORCE AND EDUCATION

1. Shortage Funding Maintaining special funding for professional nursing shortage reduction program. ($33.75 mil)

Nursing Shortage Reduction Program funding Shortage Funds in THECB bill pattern. $33.75 in filed Bill. 2/9 3/24 4/1 4/7 4/9 4/14 HB 1 – Appro Bill Companion: HB 1 FIled CS CS/a Refer’d CS CS THECB Bill Pattern Appro Rept’d Fav Passed Reg Finance Rept’d Reg Passed Conferees:

Shortage Funds Nursing Shortage Reduction Program funding 1/27 SB 2 – Appro Bill in THECB bill pattern. $33.75 in filed Bill. Refer’d THECB Bill Pattern Companion: HB 1 Finance

2. Nursing Innovative Grant Program

Extension of dedication of tobacco lawsuit settlement funds to nursing and authority of 2/16 HB 495 3/13 4/9 4/13 THECB to award funds to community and Refer’d Howard Rept’d Loc Passed Loc Rec’d Sen independent colleges HigherEd Companion: SB 448

2/9 SB 448 4/15 Companion: HB 495 Refer’d Hinojosa Action pend HigherEd

3. Increasing Primary Care APRNs

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3/24 4/1 4/7 4/9 4/14 HB 1 – Appro Bill 2/9 CS CS/a Refer’d CS CS THECB Bill Pattern FIled Rept’d Fav Passed Reg Finance Rept’d Reg Passed Rider by Howard Appro In Art XI In Art XI In Art XI In Art XI In Art XI

SB 2 – Appro Bill 1/27 THECB Bill Pattern Refer’d Rider by Hinojosa Finance

4. Community Colleges Offering BSN

Authorizes THECB to permit community 1/28 SB 271 colleges to offer a baccalaureate in field of Refer’d Ellis nursing subject to certain restrictions. HigherEd.

3/9 HB 1384 4/21 Companion: Refer’d S.Davis Hearing set HigherEd

5. Uniform Pre-Nursing Curriculum

Directs THECB to appoint advisory committee 3/23 4/15 HB 3078 to develop and make recommendations on a Refer’d CS Darby uniform pre-nursing curriculum. HigherEd Voted Fav

G. MISCELLANEOUS NURSING RELATED

1. CNA/NNOC Initiatives

3/23 HB 3820 Addresses safe patient handling and moving Refer’d Allen requirements PubHealth

2. Pharmacists Administering Meds/Immunizations

2/10 SB 480 Changes conditions that must be m et when Refer’d Perry pharmacists administer meds/immunizations HHS

H. ALLIED HEALTH PROVIDERS

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1. Anesthesiologist Assistants

HB 2267 Provides for licensure of anesthesiologists 3/13 4/14 S.Davis assistants Refer’d CS (OPPOSED) Companion: SB 1794 (Not identical) PubHealth voted fav

SB 1794 3/24 4/15 Creighton Companion: HB 2267 (Not identical) Refer’d CS (OPPOSED) HHS Action pend

2. Paramedics

Expands practice of paramedics into HB 2020 3/11 emergency department as delegated by 4/21 Martinez Refer’d physician Hearing set (OPPOSED) PubHealth Companion: SB 1899

SB 1899 3/25 Campbell Companion: HB 2020 Refer’d (OPPOSED) HHS

I. HEALTH POLICY

1. Immunizations

Converts ImmTrac from an “opt-in” to an “opt- 2/12 HB 465 3/3 Hearing out” immunization registry. Refer’d Howard Action Pend Companion: PubHealth

3/12 4/13 HB 2171 Extends age when removed from ImmTrac Refer’d CS Sheffield without new consent from 18 to 26 PubHealth Rept’d Fav

3/13 HB 2474 Addresses epidemiological reports and 4/1 Refer’d Sheffield immunization exemption reports Rept’d Fav PubHealth

2. Texting While Driving

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3/26 2/9 3/13 HB 80 CS/a 3/30 Prohibits texting while driving Refer’d CS Craddick Passed Rec’d Transportn Rept’d Reg

Others To Be Identified

# Bills Which Have Reached This Stage In Process 54 22 6 5 3 3 0 0

ABBREVIATIONS KEY

Committee Actions: Hearing set Committee hearing set Action pend Committee left bill pending without taking action. Committee can take action at anytime without additional notice Ref Subcom Committee chair referred bill to subcommittee. Committee reports a recommended action back to full committee. Voted fav Committee voted favorably on bill Rept’d Reg Committee paper work completed and bill officially reported out of committee and is eligible to be set on Regular Calendar. Rept’d Loc Committee paper work completed and bill officially reported out of committee with recommendation that be set on Local and Uncontested Calendar.

Floor Action: Set Reg Cal Bill set on Regular Calendar for floor debate, amendments and vote. In House, Calendars Committee has to set the bill. In Senate, members request. Set Loc Cal Bill set on Local & Uncontested Calendar. Special House/Senate committee sets this calendar. Bills “knocked off” if a very few members object. Wdrwn Loc Cal Bill was withdrawn or “knocked off” Local Calendar because of opposition. Set Intent Cal Senate bill author/sponsor has give notice that intends to ask to be recognized by Lt Gov to lay out bill for debate and vote. Passed Reg Bill passed on the Regular Calendar Passed Loc Bill passed on the Local and Uncontested Calendar

Conference Committee: None Were no amendments made in 2nd chamber or 1st chamber concurred in changes made by 2nd chamber Hse Appt House appointed House members for conference committees Sen Appt Senate appointed House members for conference committees Pending Conference committee has been appointed but has not completed its work in reconciling differences in bill as passed by the two chambers Rpt Filed Conference committee has completed work and filed its report recommending language for final bill Adopted Conference committee reported adopted by both chambers

Governor Action: On Desk Bill has been passed by both chambers and sent to Governor for signature Signed Governor actually signed bill Fil wo sgn Governor neither signs nor veto bills and bill becomes law. Vetoed Governor veto bills. If Legislature still in session, Legislature has authority to override veto. If not in session, bill is dead.