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Bill

SB 3055

Relating to the licensing and regulation of advanced practice registered nurses and the number of advanced practice registered nurses and physician assistants with whom a physician may enter into a prescriptive authority agreement.

89th Legislature (2025) Introduced by César Blanco and 1 co-sponsor

Texas bill adjusts physician supervision ratios for nurse practitioners and physician assistants to modify healthcare workforce capacity and practice autonomy.

Left pending in committee
#healthcareexpandedandaccessedlocallyfortexans(healtexans)act(po8u2) #medicine&prescriptiondrugs(s7338) #nurses&nurseaides(s2704) #nursing #texasboardof(v0776) #occupationalregulation--healthoccupations(i0540) #physicianassistants(s0081) #physicians(s1282)
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Bill Summary · SB 3055

Legislative bill overview

SB 3055 modifies Texas regulations governing Advanced Practice Registered Nurses (APRNs) and Physician Assistants (PAs), specifically adjusting how many of these practitioners a single physician can supervise through prescriptive authority agreements. The bill also addresses licensing and regulatory frameworks for APRNs in the state.

Why is this important

This bill directly affects healthcare access and workforce capacity in Texas. Changes to supervision ratios can expand or restrict the number of patients APRNs and PAs can serve, influencing medical practice independence, rural healthcare availability, and healthcare costs. The outcome will impact both provider autonomy and patient access to care.

Potential points of contention

  • Physician supervision burden: Physicians may resist higher ratios of supervised practitioners, arguing it compromises quality oversight and patient safety; conversely, healthcare advocates may argue current ratios unnecessarily restrict care capacity
  • APRN independence vs. safety standards: Nurses' associations may push for greater autonomy while medical boards and physician groups may demand stricter supervision requirements to maintain clinical standards
  • Rural healthcare access: Changes could either improve care availability in underserved areas or reduce quality if supervision becomes inadequate, depending on which direction the ratios shift

Compiled from official sources — confirm details with the bill’s official record.

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