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HB 5537

Relating to the prescriptive authority of certain psychologists; authorizing a fee.

89th Legislature (2025) Introduced by Mary González

Authorizes qualified Texas psychologists to prescribe medications and establishes associated state fees to address psychiatric care access gaps.

Left pending in committee
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Bill Summary · HB 5537

Legislative bill overview

HB 5537 would expand prescriptive authority to allow certain qualified psychologists in Texas to prescribe medications, a power currently limited to psychiatrists and physicians. The bill also authorizes the state to collect fees related to this new prescriptive authority framework.

Why is this important

Texas has a significant shortage of psychiatrists and psychiatric medications are often critical to mental health treatment. Allowing psychologists to prescribe could expand access to medication management in underserved areas and reduce wait times for patients. However, this represents a substantial shift in healthcare regulatory boundaries and scope of practice.

Potential points of contention

  • Professional turf concerns: Psychiatrists and medical organizations may oppose expanding psychology scope of practice, arguing medication prescribing requires medical school training
  • Patient safety questions: Opponents may raise concerns about psychologists' pharmacological training compared to MDs/DOs, while proponents argue specialized training programs can ensure competency
  • Implementation details: The bill's specificity regarding training requirements, oversight mechanisms, and liability frameworks remains unclear from the brief description and could be contentious during committee work

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

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