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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.

Rules 2014-2015

  1. 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)
  2. 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.
  3. 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).

Key Resources

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

Drug Enforcement

Contact Us

Texas Nurse Practitioners
4425 S. Mopac, Building III
Suite 405 Austin, TX 78735
P: 512.291.6224
F: 512.291.6225

Our Mission

TNP is the voice of Texas Nurse Practitioners dedicated to improving patient access to quality health care.