The bill lets a physician delegate the prescribing or ordering of Schedule II controlled substances, the most tightly controlled prescription drugs, to advanced practice registered nurses and physician assistants. It touches those nurses and assistants, the physicians who supervise them, and their patients. It removes the separate subsection that set its own rules for Schedule II delegation, so Schedule II prescriptions now follow the same 90-day limit and consultation rules as Schedule III, IV and V, starting September 1, 2025.
Labels
Labels: ZOMBIE BILL. Died 2 times: 88R HB 1190 by Rep. Klick (Died in committee) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 1190 by Rep. Klick (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.ACROSS THE AISLE. Joint authors: 1 Republican, 1 Democrat. Party as the Legislative Reference Library lists it for the 89th Legislature.NEVER GOT A HEARING. Filed Jan 17, 2025 and referred to the House Public Health committee. No public hearing. The bill died.
relating to the prescribing and ordering of Schedule II controlled
substances by certain advanced practice registered nurses and
physician assistants.
WHAT IT DOES
Physicians may delegate it.
The bill lets a physician delegate the prescribing or ordering of Schedule II controlled substances, the most tightly controlled prescription drugs, to advanced practice registered nurses and physician assistants. It touches those nurses and assistants, the physicians who supervise them, and their patients. It removes the separate subsection that set its own rules for Schedule II delegation, so Schedule II prescriptions now follow the same 90-day limit and consultation rules as Schedule III, IV and V, starting September 1, 2025.
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Public Health · Final status: Died in committee
Subjects
Occupational Regulation--Health Occupations
MEDICINE & PRESCRIPTION DRUGS
NURSES & NURSE AIDES
PHYSICIAN ASSISTANTS
STATE HEALTH SERVICES, DEPARTMENT OF
Text
The text as introduced · 269 words
89R6203 BEE-F
By: Howard
H.B. No. 1948
A BILL TO BE ENTITLED
AN ACT
relating to the prescribing and ordering of Schedule II controlled
substances by certain advanced practice registered nurses and
physician assistants.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Sections 157.0511(a) and (b), Occupations Code,
are amended to read as follows:
(a) A physician's authority to delegate the prescribing or
ordering of a drug or device under this subchapter is limited to:
(1) nonprescription drugs;
(2) dangerous drugs; and
(3) controlled substances to the extent provided by
Subsection [ Subsections ] (b) [ and (b-1) ].
(b) A [ Except as provided by Subsection (b-1), a ] physician
may delegate the prescribing or ordering of a controlled substance
only if:
(1) the prescription is for a controlled substance
listed in Schedule II, III, IV, or V as established by the
commissioner of state health services [ the Department of State
Health Services ] under Chapter 481, Health and Safety Code;
(2) the prescription, including any [ a ] refill of the
prescription, is for a period not to exceed 90 days;
(3) with regard to the refill of a prescription, the
refill is authorized after consultation with the delegating
physician and the consultation is noted in the patient's chart; and
(4) with regard to a prescription for a child less than
two years of age, the prescription is made after consultation with
the delegating physician and the consultation is noted in the
patient's chart.
SECTION 2. Section 157.0511(b-1), Occupations Code, is
repealed.
SECTION 3. This Act takes effect September 1, 2025.