Since the introduction of SB 406 on November 1, 2013, physicians can delegate prescriptive powers to APRNs anywhere in Texas. Location and distance restrictions no longer exist and medical monitoring requirements are now the same for all doctors who delegate through a pre-administration agreement (PAA). The CIP is one of two possible written documents by which physicians delegate prescription authority to an APRN and/or medical assistant (PA). Requirements for physicians, APRNs, and SAP that meet an AAP are included in Texas Medical Board (TMB) Rule 193.7. The specific rules for APRNs, which are parties to an AAP, are in the Texas Board of Nursing (BON) rule 222.5. The information that must be included in a prescription and a prescription form can be found in RULE BON 222.4. Requests for prescriptive authority numbers and other important information for APRNs are published on the BON Advanced Practice Nursing webpage. Frequently asked questions about prescriptive authority jointly developed by BON and TMB are available on the WEB DE BON and TMB websites. (For TMB FAQs, click “Laws and Rules” in the left navigation column.) In the case of agreements concluded on or after 1 September 2019, the period during which a delegate practised with a physician under a supervised pre-regulatory authority agreement is no longer relevant for the frequency with which the parties to the agreement must meet through the requested authority. These participants must meet at least every month, regardless of the duration of their joint exercise under a mandatory authority agreement. It depends on the date of execution of the agreement. In the case of binding agreements concluded before the 1st Certain factors, such as the nature of the delegates` license and the time spent under an agreement, the frequency and type of meetings required.
For such agreements, the duration of the period during which an APRN or AP was performed under the delegated prescriptive authority of a physician under a pre-scripturist authority agreement, includes the duration of the period of time practiced before November 1, 2013 under the delegated prescriptive authority of the same physician. This should not be interpreted in such a way that other APRNs are not allowed to order medication for patients in a hospital or long-term care home. Other physicians who have privileges of admission to the institution may delegate prescriptive authority to the APRNs with whom they work through an AAP. . . .