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HB 3889

Relating to the prescribing or ordering of a controlled substance or dangerous drug or device by an advanced practice registered nurse or physician assistant under a prescriptive authority agreement.

89th Legislature (2025) Introduced by Liz Campos

HB 3889 adjusts prescriptive authority requirements for APRNs and PAs in Texas, potentially expanding or restricting their ability to prescribe controlled substances under physician supervision agreements.

Referred to Public Health
#healthcareproviders(i0387) #medicine&prescriptiondrugs(s7338) #nurses&nurseaides(s2704) #occupationalregulation--healthoccupations(i0540) #physicianassistants(s0081) #physicians(s1282)
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Bill Summary · HB 3889

Legislative bill overview

HB 3889 modifies Texas regulations governing prescriptive authority agreements between advanced practice registered nurses (APRNs) and physician assistants (PAs) with supervising physicians. The bill appears to adjust requirements or procedures for how these healthcare professionals can prescribe controlled substances and dangerous drugs under collaborative agreements with physicians.

Why is this important

This bill affects healthcare access and workforce flexibility in Texas. APRNs and PAs are increasingly relied upon to provide primary care, particularly in underserved areas, so changes to their prescribing authority directly impact patient access to medications and treatment options. The bill could either expand or restrict their autonomy depending on specific amendments to current law.

Potential points of contention

  • Scope of practice turf wars: Physician organizations may oppose expanded APRN/PA autonomy as a threat to physician authority, while nursing and PA advocates may push for greater independence from physician supervision
  • Patient safety concerns: Disagreement over whether expanded prescribing authority without strict supervision compromises quality control, or conversely, whether overly restrictive requirements limit timely patient care
  • Rural healthcare access: Disputes over whether relaxed requirements help address provider shortages in underserved areas or create accountability gaps in remote regions with limited oversight infrastructure

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

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