Delegating and Supervising Prescribing Privileges for APRNs/PAs

A law governing the delegation and supervision of prescribing privileges for advanced practice registered nurses and physician assistants went into effect in 2013.

The bill replaced the old site-based regulatory structure with a more collaborative model based on periodic quality assurance reviews and a prescription authority agreement (PAA).

The law does not stipulate a specific form for the PAA, but TMA has developed a sample template for physicians to use. Accompanying the sample PAA is a fact sheet summarizing the details of the law.

The bill was passed with support from TMA, the Texas Academy of Family Physicians, the Texas Association of Physician Assistants, and the various groups representing advanced practice registered nurses. The law reinforces the importance of physician-led medical care teams, recognizes the skills all practitioners bring to patient care, and allows the delegating/supervising physician greater flexibility in tailoring the PAA to his or her practice. 

Find out all the details in Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for an NPP, Second Edition (2017), available in the TMA Education Center

Updated Sept. 26, 2017


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September 27, 2017

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