Rules and Regulations
Texas has a robust Nursing Practice Act and complex body of rules, regulations, and guidelines governing advanced practice nursing. Below is a summary of the most recent rules and regulations for APRNs in Texas, and a list of key regulatory resources for your reference.
New Rules, Adopted 2017-2019
See all newly proposed or adopted rules here.
- Rule 216, Continuing Competency: This rule sets out requirements for continuing education requirements in Jurisprudence and Ethics, Older Adult/Geriatric, Pharmacology, and Forensic Evidence Collection (see more information here)
- Rule 228, Pain Management: These rules sets out pain management standards, new requirements for pain management clinics in Texas, and addresses non-therapeutic prescribing in pain management settings by APRNs. It is of note that Board Rule 228.1(5) specifically states that an advanced practice registered nurse, which includes Certified Registered Nurse Anesthetists, cannot be the owner or operate a pain management clinic.
- Rule 224 and 225, RN Delegation to Unlicensed Personnel: These rules establish RN delegation standards for clients with acute conditions (Rule 224), and for clients in independent living environments with stable and predicable conditions (Rule 225).
Texas Nursing Practice Act
Texas Medical Practice Act (Chapter 193 and 193.6 related to APRNs)
General Nursing Practice Information
General Advanced Practice Information
Texas Board of Nursing Frequently Asked Questions
Texas Board of Nursing Position Statements
Nursing Peer Review / Incident-Based and Safe Harbor
Delegation Resource Packet
Guidelines & Interpretive Guidelines
Board of Pharmacy
TX Administrative Code