(9) describe a quality assurance and improvement plan for the Authority and how it is implemented. The plan should require graphic checks and regular meetings. Note that if the licensee is limited to the control, delegation or prescribing of an aircraft in accordance with an order of board, the licensee may enter into an agreement and practice in accordance with the agreement, as long as the board order authorizes it. 1. be reviewed and verified, signed and dated in writing by the parties to the agreement each year; The Texas Tribune (February 2017) reported that the state`s representative, Stephanie Klick, was proposing R-Fort Worth, H.B 1415, to remove the delegation requirement and thus grant self-contained prescribing privileges to PNs. She pointed out that doctors sometimes receive up to six figures because they “delegate doctors.” It is not surprising that the main opponents of the granting of NPNs are physician organizations that would lose these lucrative contracts. As the search for a supervising physician is so expensive, Clic argued that many TX-NPs have decided to work in neighboring countries like New Mexico with more convenient environments. For an agreement on a normative authority reached on September 1, 2019 or after September 1, 2019, the agreement must be at least as follows: according to the Texas Nursing Practice Act, NPs must have received written consent from a prudential physician for the “prescriptive delegation,” also known as the collaboration agreement. In addition to the TX Board of Nursing, NPs are also regulated by the TX Board of Medicine. What is remarkable is that recently, TX has finally eliminated the requirement that a doctor be on site for the NPs to be beautiful at all times, and the fight continues. Given the inevitable shortage of health care providers in Texas and the abundance of evidence that NPNs provide quality and inexpensive services, it is disappointing that this struggle for independence continues. Highly qualified and certified NPNs are limited by costly cooperation agreements with physicians; They are denied the opportunity to prescribe treatments independently and to make decisions about the care of their patients.
There is limited evidence that this additional bureaucratic burden actually protects patients; on the contrary, clinically disenfranged NPNs can have negative consequences. I think this is an important step towards improving access to quality health care, especially for the uninsured and underinsured, as well as for those living in rural and border areas.