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.
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.
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.
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
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.