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Please support increasing access to care in Texas by signing our petition and sharing your story.   Texas Nurse Practitioners firmly supports allowing APRNs to practice to the full extent of their clinical ability without ANY arbitrary barriers.   A state regulatory system that allows patients to have full and direct access to all of the services that APRNs are educated and certified to provide will best position our state’s current and future health care needs.


Support APRNs by completing these two steps. After you complete step 1, please come back to this page to complete step 2.


Step 1: Send An Email to Your Legislator

Please take a few moments, but clicking here and encourage your Representative to support HB 1885.


Step 2: Sign The Petition

Please take a few moments, by clicking here and show your support for HB 1885 by Bell and SB 751 by Rodriguez and Burton.

About the Bills

With the filing of Senate Bill 751 and House Bill 1885, Texas legislators have laid the foundation to improve access to health care in Texas by making it easier for health care professionals to work together to deliver much needed primary care services.


The bills would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs).  This move would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments – including the prescribing of medications – activities they are already doing, but would move these items under the exclusive licensure authority of the Texas Board of Nursing.

Currently, state statute and regulations needlessly require Texas APRNs to secure a physician to delegate their authority for many elements of care. These supervisory requirements are not found in most other states, specifically next-door in New Mexico.

Not having diagnosis and prescription writing authority under the APRN license prevents the clinician from taking charge of his/her own practice. APRNS with valuable years of clinical experience are forced to negotiate around practice restrictions that interfere with their ability to deliver optimal care to their patients. This is frustrating, both philosophically and practically. Valuable time and resources are wasted in the process of trying to develop work arounds that don’t impact the NP or physician practice.

Key Provisions in the Bills

  • Eliminates the outdated and costly requirement for individual physician delegation of diagnosing and prescribing.
  • Provides for greater access to essential health care services in all areas of the state, especially those most rural and underserved regions.
  • Improves the primary care provider workforce shortage by eliminating unnecessary bureaucratic restrictions requiring physician involvement before an APRN can provide patient care.
  • Avoids duplication of services and billing costs associated with physician oversight
  • Reduces repetition of orders, office visits and costs for patients who are already struggling to navigate the health care system.

About Our Bill Authors

Representative Cecil Bell, Jr. is a sixth generation Texan whose family has been in the State of Texas since 1852. The oldest of three siblings, Cecil was born in Rosenberg but raised all across Texas. Representative Bell represents Texas House District 3, which includes a portion of Montgomery County and all of Waller County.

Senator José Rodríguez represents Texas Senate District 29, which includes the counties of El Paso, Hudspeth, Culberson, Jeff Davis, and Presidio.

Senator Konni Burton is a wife, mother, and life long Christian. Senator Burton represents Texas Senate District 10, which includes a portion of Tarrant County.

What is A Nurse Practitioner?

A Nurse Practitioner is an advanced practice registered nurse.  The term “advance practice registered nurse” covers four groups of health care professionals –nurse practitioners, certified nurse anesthetists, certified nurse midwives and clinical nurse specialists. A majority – about 63 percent – are nurse practitioners.  Most Nurse Practitioners have national certification in their area of expertise. Nurse Practitioners serve as primary health care providers for children and adults during health and illness. For more information about Nurse Practitioners, click here.


Read the Bills

HB 1885 by Bell

SB 751 by Rodriguez & Burton

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

The voice of Texas Nurse Practitioners dedicated to improving patient access to quality health care.