Texas Health Steps/EPSDT - APNs may provide THServices independently, but must have delegated prescriptive authority to obtain free vaccines through the Vaccines for Children program and to diagnose and prescribe if the child is ill

§32.056, Texas Human Resources Code

25 TAC Chapter 33

Immunization Requirements

§81.032, Texas Health and Safety Code

Chapter 161, Texas Health and Safety Code

25 TAC Chapter 97

Immunization Registry

§161.007-§161.009, Texas Health and Safety Code

25 TAC Chapter 100

APNs are required to report, if not being reported by another entity:

Certain communicable diseases

Certain occupational diseases

Elevated blood lead levels

§81.042, Texas Health and Safety Code

§84.003-§84.004, Texas Health and Safety Code

§88.004, Texas Health and Safety Code

25 TAC Chapter 97, Subchapter A

25 TAC §99.1

Clearinghouse for physicians and APNs seeking a collaborative practice

§105.007, Texas Health and Safety Code

25 TAC §39.91-§39.94

Anesthesia Services in:

Hospital

Psychiatric facility

N/A

25 TAC §133.41(a)

25 TAC §134.41(a)

CNMs may sign birth certificate

§192.003, Texas Health and Safety Code

25 TAC §181.26

Physicians sign dealth certificates. CNMs may sign for still born deliveries.

§192.005, Texas Health and Safety Code

N/A

County Indigent Health Care Program lists APNs under optional health care services, but does not require counties to reimburse APNs

§61.0285, Texas Health and Safety Code

25 TAC §14.201

Controlled Substances Act - APNs are included in the definition of practitioners

Chapter 481, Health & Safety Code

§192.005, Texas Health & Safety Code

Note: 37 TAC §13.2 refers to "practicitioner" but the term is not definited in DPS or DSHS rules.

Dangerous Drugs Act

Chapter 483, Texas Health & Safety Code

N/A

Mental Health Records - Confidentiality and other issues

Chapter 611, Texas Health & Safety Code

25 TAC Chapter 414, Subchapter A

Only physicians may perform a history and physical exam before admission to a psychiatric facility

§572.0025(f), Texas Health & Safety Code

25 TAC §411.461(2) and (d)

Only physicians may order restraints for behavioral reasons but PMH APNs may do the assessment within one hour of applying a restraint

§1576.024, Tecas health & Safety Code

25 TAC §404.154(26)

25 TAC §415 Subchapter F

Consent for psychoactive drugs

§1576.025, Texas Health & Safety Code

25 TAC §414.401-.415