Monitoring the Session

HB 3889

bill changing how doctors delegate prescribing power

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Elizabeth "Liz" CamposDHouse 119

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

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.

Caption from analyzed text · version I.

Summary

New rules for nurse practitioners and physician assistants.

This bill changes the rules for how a doctor can hand off prescribing power to a nurse practitioner or physician assistant. It says that when the drug is a controlled substance or a dangerous drug or device, the handoff must be written into a prescriptive authority agreement, and the nurse or physician assistant may prescribe it only to patients the delegating doctor already has an established relationship with. Starting September 1, 2025, nurse practitioners and physician assistants could no longer prescribe those drugs to new patients the supervising doctor has never treated.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 3230 by Rep. Allison (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 3230 by Rep. Allison (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.NEVER GOT A HEARING. Filed Mar 6, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB3889 · 2025-03-06

SOLD BY

ITEM

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.

WHAT IT DOES

New rules for nurse practitioners and physician assistants.

This bill changes the rules for how a doctor can hand off prescribing power to a nurse practitioner or physician assistant. It says that when the drug is a controlled substance or a dangerous drug or device, the handoff must be written into a prescriptive authority agreement, and the nurse or physician assistant may prescribe it only to patients the delegating doctor already has an established relationship with. Starting September 1, 2025, nurse practitioners and physician assistants could no longer prescribe those drugs to new patients the supervising doctor has never treated.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 28, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texas Sands PAC$58,000.00

Texas Sands PAC

$58,000.00

Cash
$58,000.00
Paid by others
$0.00
Total
$58,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jan 30, 2026 to Sep 29, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101041279, 101072570.

Texas Trial Lawyers Association PAC$54,000.00

Texas Trial Lawyers Association PAC

$54,000.00

Cash
$54,000.00
Paid by others
$0.00
Total
$54,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 19, 2024 to Aug 21, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.

Texas Medical Association Political Action Committee$26,223.56

Texas Medical Association Political Action Committee

$26,223.56

Cash
$25,500.00
Paid by others
$723.56
Total
$26,223.56
fundraiser $597.31food $126.25

Also funds 118 other sitting lawmakers.

Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Mar 2, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101041279, 101062186.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texas Sands PAC

$58,000.00

Cash
$58,000.00
Paid by others
$0.00
Total
$58,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jan 30, 2026 to Sep 29, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101041279, 101072570.

×

Texas Trial Lawyers Association PAC

$54,000.00

Cash
$54,000.00
Paid by others
$0.00
Total
$54,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 19, 2024 to Aug 21, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.

×

Texas Medical Association Political Action Committee

$26,223.56

Cash
$25,500.00
Paid by others
$723.56
Total
$26,223.56
fundraiser $597.31food $126.25

Also funds 118 other sitting lawmakers.

Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Mar 2, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101041279, 101062186.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 3230

by Rep. Allison, different lead author · Died in committee · same text

Introduced text

Last action, Mar 15, 2023: Referred to Public Health

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.

Caption, 88R bill history

Sources

Texas House · Filed Mar 6, 2025

03/27/2025 H Referred to Public Health: Mar 27 2025 11:57AM

Texas Legislature Online · Introduced

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

Health Care Providers

Occupational Regulation--Health Occupations

MEDICINE & PRESCRIPTION DRUGS

NURSES & NURSE AIDES

PHYSICIAN ASSISTANTS

PHYSICIANS

Text

The text as introduced · 239 words

89R14807 DNC-F

By: Campos
H.B. No. 3889

A BILL TO BE ENTITLED

AN ACT

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.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 157.0512, Occupations Code, is amended

by amending Subsection (a) and adding Subsection (a-1) to read as

follows:

(a) Except as provided by Subsection (a-1), a [ A ] physician

may delegate to an advanced practice registered nurse or physician

assistant, acting under adequate physician supervision, the act of

prescribing or ordering a drug or device as authorized through a

prescriptive authority agreement between the physician and the

advanced practice registered nurse or physician assistant, as

applicable.

(a-1) A physician may not delegate to an advanced practice

registered nurse or physician assistant, acting under adequate

physician supervision, the act of prescribing or ordering a

controlled substance or dangerous drug or device unless authorized

under a prescriptive authority agreement between the physician and

the advanced practice registered nurse or physician assistant, as

applicable. An advanced practice registered nurse or physician

assistant prescribing or ordering a controlled substance or

dangerous drug or device under this subsection may do so only for a

patient with whom the physician who makes the delegation has an

established physician-patient relationship.

SECTION 2. This Act takes effect September 1, 2025.