Agenda Item: 1.4 Prepared by: Katherine Thomas/Bruce Holter Meeting Date: April 25-26, 2019 Legislative Update The report which follows includes critical legislation currently being monitored by Board staff. The agency is following more than 200 House and Senate bills. At the time this report was prepared, 7,688 bills had been filed in the legislature. This is an increase of 5.8% percent from the previous legislative session. In the current legislative session, 13 bills include language which would amend the Nursing Practice Act (NPA). On May 6th, the 119th day of the session, any House bill not out of committee will no longer be eligible to continue forward in the legislative process. The last day of the regular legislative session is May 27th. The last day that the Governor can sign, veto or take no action on bills passed in the House and Senate is June 16th. The bills on the following pages are divided into two groups. All bills which would amend the NPA appear first. Following these bills are other bills which, if enacted, may require further action by the Board or Board staff. A full report on enacted legislation will be provided at the July, 2019 Board Meeting. This report is for information purposes. No action is required. Bills Amending Nursing Practice Act Continuing Education – Suicide Prevention HB 471 By Shawn Thierry Relating to required suicide prevention Amends Chapter training for certain health care 301 of the NPA. practitioners Expedited Texas Licensure for APRNs from Other States HB 912 By Donna Howard Relating to an expedited licensing Amends Chapter process for certain advanced practice 301 of the NPA. registered nurses. APRN Practice in Rural Underserved Counties without Supervision HB 927 By James White Relating to the practice of certain Amends Chapter advanced practice registered nurses in 301 of the NPA. certain rural counties. Prescriptive Authority for Psychologists HB 1092 By Bill Zedler Relating to the prescriptive authority of Amends Chapter certain psychologists; authorizing a fee. 301 of the NPA. Independent Practice for APRNs HB 1792 By Stephanie Klick Relating to the authority of certain Amends Chapter advanced practice registered nurses. 301 of the NPA. Expedited Licensure for Military Nurses and Spouses HB 2213 By Ana Hernandez Relating to the issuance of a temporary Amends Chapter license by the Texas Board of Nursing 301 of the NPA. to a military service member, military veteran, or military spouse Nursing Peer Review HB 2410 By Stephanie Klick Relating to a request for a nursing peer Amends review determination Chapter 303 of the NPA. Expedited Licensing for Nurses who are Military Spouses HB 2610 By Stan Lambert Relating to expedited licensing Amends procedures for certain nurses who are Chapter 301 of military spouses the NPA. Increased Penalties Against Nurses for Abandonment or Endangering Client(s) HB 2874 By Yvonne Davis Relating to the criminal offense of Amends abandoning or endangering a child, Chapter 301 of elderly individual, or disabled individual. the NPA. Increased Penalties Against Nurses for Sexual Abuse of a Child or Disabled Individual HB 3177 By Reggie Smith Relating to the prosecution of the Amends offense of continuous sexual abuse of a Chapter 301 of child or disabled individual the NPA. Prescriptive Authority for Psychologists SB 268 By Jose Rodriguez Relating to the prescriptive authority of Amends certain psychologists; authorizing a fee. Chapter 301 of (Identical to HB 1092) the NPA. Independent Practice for APRNs who are Military Veterans SB 270 Rodriguez, Jose Relating to the practice of certain Amends advanced practice registered nurses Chapter 301 of who are military veterans the NPA. Independent Practice for APRNs SB 2438 By Jose Rodriguez Relating to the authority of certain Amends advanced practice registered nurses. Chapter 301 of (Identical to HB 1792) the NPA. Other Legislation of Interest Medical Marijuana HB 122 By Gina Hinojosa HB 122 is one of numerous bills filed relating to medical marijuana. Some of the bills may be combined with a single bill advancing. Abolition of Student Loan Default as Grounds for Nonrenewal of Licensure HB 218 + By John Smithee Relating to the abolition of student loan HB 258 default or breach of a student loan HB 466 repayment or scholarship contract as a SB 37 ground for nonrenewal or other disciplinary action in relation to a professional or occupational license. APRN Face to Face Meetings with Doctors HB 387 By Philip Cortez Authorizes a licensed APRN to complete and sign work status reports for patients for worker’s compensation. SB 1022 By Brandon Creighton (Identical) Completion of Work Status Reports by APRNS HB 387 By Philip Cortez Authorizes a licensed APRN to complete and sign work status reports for patients for worker’s compensation. SB 1022 By Brandon Creighton (Identical) Seizure Training for School Nurses HB 684 By Bryan Hughes Relating to training requirements for TEA Seizure public school nurses and certain other training for school personnel regarding seizure nurses recognition and related first aid. SB 1044 By Bryan Hughes (Identical) HPC Annual Report HB 1137 By Four Price Relating to an annual report prepared by the Health Professions Council. SB 1636 By Judith Zaffirini (Identical) Workplace Violence HB 1146 By Donna Howard Relating to workplace violence prevention in certain health care facilities. Grants to Nursing Education Programs HB 1401 By Donna Howard Relating to the use of money from the permanent fund for health-related programs to provide grants to nursing education programs HB 2980 By Donna Howard Relating to the creation of an incentive program to fund innovative solutions for clinical education of graduate nurses. Sunset Bill – Texas Medical Board HB 1504 By Chris Paddie Relating to the continuation and functions of the Texas Medical Board SB 610 By Robert Nichols (Identical) Dispensing of Dangerous Drugs HB 1622 By Tom Oliverson Relating to the authority of a physician to provide and dispense and to delegate authority to provide and dispense certain drugs. Administration of Anesthesia by CRNA under Dentist Order HB 1863 By Stephanie Klick Relating to the administration of SB 2379 By Bryan Hughes anesthesia by a certified registered nurse anesthetist on the order of a dentist Human Trafficking Prevention Training HB 2059 By Cesar Blanco Relating to required human trafficking prevention training for health care practitioners and certain employees of health care facilities Controlled Substance Prescriptions HB 2174 By John Zerwas Relating to controlled substance prescriptions under the Texas Controlled Substances Act. SB 1233 By Lois Kolkhorst (Identical) Eligibility for Licensure – Criminal Convictions HB 2232 By Ron Reynolds Relating to the consequences of a criminal conviction on a person's eligibility for an occupational license. Schedule II Controlled Substances HB 2250 By Eddie Lucio III Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants SB 1308 By Dawn Buckingham (Identical) CE Requirements for APRNs with Prescriptive Authority HB 2454 By Four Price Relating to continuing education requirements for certain health professionals regarding pain management and the prescribing of opioids. Acute Pain Treatment HB 2811 By Four Price Relating to the prescribing of controlled substances and dangerous drugs for acute pain Licensure Restrictions based on Religious Beliefs HB 2827 By Phil King Relating to discrimination by a state SB 17 By Charles Perry agency against an applicant for or SB 444 By Charles Perry holder of an occupational license. Expedited Licensure for Military Veterans and Spouses HB 3032 By Stan Lambert Relating to certain requirements for the issuance of an occupational license to persons licensed in other jurisdictions. Assisted Living Facilities HB 3329 By James Frank Relating to the services provided by Adds that assisted living facilities. assisted living facilities may provide health maintenance activities. SB 1406 By Dawn Buckingham (Identical) Sale of Hobby Building HB 3653 By Gina Hinojosa Relating to authorizing the sale of SB 1349 By Kirk Watson certain real property (William Hobby Building Complex) by the Texas Facilities Commission on behalf of the state. Occupational Licensing for Military, Military Spouses, and Veterans HB 3701 By Rick Miller Relating to occupational licensing of certain military service members, military veterans, and military spouses by state agencies and political subdivisions. North Carolina Antitrust + Agency Rule Review HB 4112 By Chris Paddie Relating to the review of certain SB 1995 By Brian Birdwell occupational licensing rules by the office of the governor Public Information HB 4132 By Eddie Rodriguez Relating to maintenance and production SB 1317 Nathan Johnson of electronic public information under the public information law Study – Occupational Licensing of Military HB 4413 By Brad Buckley Relating to state occupational licensing of certain military service members, military veterans, and military spouse. Nursing Faculty Loan Repayment SB 358 By Chuy Hinojosa Relating to the Nursing Faculty Loan Adds part-time Repayment Assistance Program. faculty to those eligible for assistance DPS Access to PMP SB 363 By Kirk Watson Relating to access to certain controlled substance prescription information. Nursing Shortage SB 630 By Jose Rodriguez Relating to a study and report regarding shortages in certain health professions. Reduced License Fee for Former License Holders SB 787 By Kelly Hancock Relating to a reduced licensing fee for HB 3624 By Senfronia Thompson certain former license holders. Former license holders must have become parents by natural birth or adoption. Prescribing of Opioids SB 813 By Royce West Relating to the prescribing of opioids. Opioid prescriptions not to exceed seven day supply. Nurse to Physician Education SB 2011 By Dawn Buckingham Relating to a study and report regarding streamlining physician licensing requirements for nurses. Nonsurgical Cosmetic Procedures at Medical Spas SB 2366 By Bryan Hughes Relating to the performance of nonsurgical medical cosmetic procedures at medical spas.