SB 919

SB 919 allows an advanced practice registered nurse or a physician assistant to now provide required medical certification for a death certificate or a fetal death certificate in certain situations. These providers may only complete the medical certification for a death certificate or fetal death certificate if the patient had executed a written certification of a terminal illness, elected to receive hospice care, and was receiving such qualified hospice care; or the patient was receiving palliative care. The medical certification must be completed within five days of receiving the death certificate. Further, SB 919 provides clarification that an advanced practice registered nurse, in addition to a registered nurse and physician assistant, can pronounce a person dead in situations other than those listed above if provided for in the written policies of the licensed entity providing services to that person. Registered nurses, including an advanced practice registered nurses, or physician assistants who determines death in accordance with the statutory requirements are not liable for civil damages nor subject to criminal prosecution for their actions or the actions of others based on the determination of death.

Governor Abbot signed SB 919 into law on June 1, 2017 to be effective immediately.

Read the full text of this bill here.

Advanced Practice Registered Nurses (SB 654)

Texas Legislature – 85th Regular Session (2017)

Summaries of Certain Health Care Related Bills

Advanced Practice Registered Nurses
SB 654

SB 654 is intended to address the shortage of primary care providers in Texas, especially for Medicaid patients, by increasing access to medical care through non-physician providers. SB 654 requires rules to be adopted by the executive commissioner pursuant to amendments to the Texas Insurance Code and the commission pursuant to amendments to the Texas Human Resources Code to require certain State managed care organizations or other entities to ensure that advanced practice registered nurses are available as primary care providers in such organization’s or entity’s provider network. An advanced practice registered nurse may be included as a primary care provider in a managed care organization’s provider network regardless of whether the physician supervising an advanced practice registered nurse is in the provider network.

Governor Abbott signed SB 654 into law on May 29, 2017 to be effective September 1, 2017.

Read the full text of this bill here.