Delegation of Duties

The Texas Medical Association has a number of tools to help physicians manage nonphysician practitioners (NPPs) properly. See TMA's online resources, as well as other helpful information, listed below to learn more about delegation of duties.

TMA Resources

• Guidance on Prescribing Schedule II Hydrocodone Products  NEW
• Delegating and Supervising Prescribing Privileges for APRNs/PAs   
• Delegating Prescriptive Authority — to How Many?   
• Hiring a Nonphysician Practitioner? First Step: Set Parameters
• TMA Practice Consulting Services: Recruitment, Billing, Coding Review, and Coding Training 
• Prescriptive Authority Agreement Background and Sample Form

In the TMA Education Center:

• Publication: Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for an NPP, 2nd Edition
• On-demand Webinar: NPP Regulations: Rules You Need to Know will teach you and your staff about the new required prescriptive authority agreements, quality assurance plans, and more. Physicians, NPPs, and office managers should all attend to learn their altered responsibilities under the new supervision framework and how to avoid legal pitfalls. 

Legal Guidelines

• TMA Advocacy on Scope of Practice
• Texas Medical Board: FAQ on Prescriptive Delegation
• Texas Medical Board: Supervision and Prescriptive Delegation Registration 
• Texas Occupations Code, Section 204.202: Scope of Practice
• Texas Occupations Code, Chapter 157: Authority of Physician to Delegate Certain Medical Acts
• Texas Board of Nursing – Guidelines for Determining APN Scope of Practice  
• Nursing Practice Act
• U.S. Centers for Disease Control and Prevention: Nurse Practitioners, Certified Nurse Midwives, and Physician Assistants in Physician Offices