Scope of Practice

TOP LEGISLATIVE SCOPE ARTICLES
Fighting Against Scope Expansion, For Coverage Extension

Watch TMA physicians once again fight against scope-of-practice expansion for therapeutic optometrists and stand up for uninterrupted coverage for children insured by Medicaid. Lawmakers also honored fallen physicians in a Capitol ceremony, and they gave preliminary approval to a medicine-backed plan to stop teen vaping.
Independent Prescribing for APRNs: A Bad Idea

Texas Legislature

The house of medicine sent a handful of its advocates into the ring to stop this year’s effort to give advanced practice registered nurses (APRNs) more authority to perform medical acts without physician supervision.

Read all of the Texas Legislative Hotlines here

Legislative Hotline,
for March 24, 2021
Scope of Practice Legislative Toolkit

Health care must be physician-led and team-based. Use TMA's toolkit to help stop scope of practice expansion.

Scope Toolkit
TMA Legislative Hotline: Nurses Could Prescribe Under New Scope Bill

Feb. 26, 2021
ADDITIONAL SCOPE ARTICLES
State Supreme Court Sides With Chiropractors on Neurological Test

The Texas Supreme Court has ruled that chiropractors can perform a diagnostic test used to evaluate a patient’s eye movements, a setback for medicine in a 10-year court battle.
Get the Details Here
I Won’t Take the Nurse Practitioners’ Bait

The American Association of Nurse Practitioners (AANP) is obviously intent on picking a fight with physicians. No thanks. We’ll take the high road, fully aware of the dangers of their plans, and stick with what we know is best for our patients: the physician-led health care team.
TMA Details Concerns
CRNAs Can’t Administer Anesthesia Unless Physician Delegates

The state attorney general has agreed with the Texas Medical Association in an official opinion that keeps certified registered nurse anesthetists (CRNAs) from administering anesthesia without physician delegation.
Read the Attorney
General's Opinion
Information on Delegation of Duties to NPPS

TMA has a number of tools to help physicians manage nonphysician practitioners (NPPs) properly.
Review the Guidelines and Resources
From the Knowledge Center

Recent questions about Scope of Practice:

What Services Can Non-Physician Practitioners Provide and How Should I Bill?

Physician Supervision of PAs, NPs, and Other Personnel In the Medical Office.

What Are the Guidelines and Regulations for Employing a Physician Assistant?

Ask your question now See all Scope Questions
Scope of Practice Member Benefits

TMA White Paper: Prescriptive Authority Agreement Background Information and Sample Form

On-Demand CME (member discounts)

TMA Knowledge Center Alert – Scope of Practice

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