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Nurse Full Practice Authority 

There have been Bills introduced in the House (HB2029) and the Senate (SB915) that would remove the physician delegation requirement for APRNs.

  1. What would this mean for your practice?

  2. Should the restrictions on APRN practice removed during Covid-19 remain in place?

  3. What would full practice authority do for Texas?  

Use in-text citations and references (APA format)

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Nurse Full Practice Authority


There is a considerable expansion of APRN’s practice authority over the years. Today, there are numerous efforts to remove the APRN’s practice restrictions through state and federal coalitions. House bill 2029 and SB915 are some of the ongoing measures to remove the bothersome delegation mandates. They aim at increasing health care access and options by allowing APRNs full practice to the extent of their training and education. Such efforts have an enormous impact on my practice and the larger Texas region.

Impact on Practice

The training and experience of APRNs are sufficient to promote efficient and effective high-quality care. However, the existing Texas regulations are a hindrance to my practice. Removing practice barriers through House bill 2029 and SB915 would mean that APRNs don’t have to sign expensive contracts with physicians. A report in 2018 shows that one in five APRN’s had to pay an average fee of $6000lyear with some nurses paying up to $50,000 annually (Martin & Alexander, 2019). The bills will ensure that APRN’s practice to the full extent of their education and training to optimize the efficiency and quality care delivery for patients at no expense.

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Impact on Texas

The removed APRN’s restriction removed during COVID-19 should remain in place. Texas faces a significant challenge in health care access due to the persistent health care provider shortage. Maintaining APRN’s practice authority would mean an expanded health care access for the population for better health.

Proving full practice authority would mean reduced costs for Texas through reduced primary care in rural areas. APRN’s unlike primary care physicians practice mostly in rural and health-professional underserved areas (Grumbach et al., 2003). They also practice at a lower cost compared to physicians. Reports show that they could save up to $10.66 billion in a decade (Annals of Family Medicine, 2009). It would have a significant impact on the health care cost in Texas.





Annals of Family Medicine. (2009). English- UnitedHealth Group.

Grumbach, K., Hart, L. G., Mertz, E., Coffman, J., & Palazzo, L. (2003). Who is caring for the underserved? A comparison of primary care physicians and non-physician clinicians in California and Washington. The Annals of Family Medicine, 1(2), 97-104.

Martin, B., & Alexander, M. (2019). The economic burden and practice restrictions associated with collaborative practice agreements: A national survey of advanced practice registered nurses. Journal of Nursing Regulation, 9(4), 22-30. DOI: (19)30012-2

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