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Momentum Builds for Eliminating Unnecessary Regulations on APRNs

In 2013, the Texas Legislature eliminated the requirement that APRNs have on-site supervision by a physician, yet the state continues to mandate anti-competitive, often costly contracts with physicians in order to provide care for Texas patients. This is inhibiting APRNs from expanding into rural and other under-served areas, where they can increase access and options for Texas patients across the state.

It also puts Texas at a competitive disadvantage when it comes to retaining and attracting the healthcare workforce we need.

During COVID-19, Gov. Abbott waived this licensing provision as well as other regulations that were preventing Texans from getting the health care they need. We can’t wait for the next health care crisis to address these licensing barriers. Texans need care now. It's time to make that waiver permanent.

Removing this outdated mandate is a top legislative health care agenda item for a growing number of diverse organizations and stakeholders working to improve health care access in our state. The House Research Organization noted making emergency licensing provisions permanent and allowing APRNs to practice without physician contracts among items the 87th Legislature could consider. Groups like Texas 2036 and Young Conservatives of Texas have named this as a top health care priority, as have members of the Texans for Health Care Access Coalition, which includes:


Americans for Prosperity - Texas

APRN Alliance

Coalition of Texans with Disabilities

Consortium of Texas Certified Nurse Midwives

Every Texan (formerly Center for Public Policy Priorities)

Leading Age Texas

Methodist Healthcare Ministries of South Texas

National Alliance on Mental Illness

Philippine Nurses Association of America

R Street Institute

Texans for Midwifery

Texas Association of Benefit Administrators

Texas Association of Business

Texas Association of Nurse Anesthetists

Texas Association of Health Plans

Texas Association of Health Underwriters

Texas Conservative Coalition Research Institute

Texas Clinical Nurse Specialists

Texas Business Leadership Council

Texas Employers for Insurance Reform

Texas Impact

Texas Nurses Association

Texas Nursing Legislative Agenda Coalition

Texas Nurse Practitioners

Texas Organization of Rural and Community Hospitals

Texas Physician Assistant Business Alliance of Texas

Texas Public Policy Foundation

Texas School Nurses Organization

Texas Silver Haired Legislature

The Heartland Institute

The Libre Initiative

University Health System

Veterans Deserve Care


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