Texas Regulatory Changes Regarding Physician Supervision in Response to COVID-19
April 8, 2020

On April 5, 2020, Texas Governor Greg Abbott temporarily waived certain regulations to allow more flexibility between physicians and the physician assistants (“PAs”) and advanced practice registered nurses (“APRNs”) they supervise for the duration of the Governor’s disaster declaration. Specifically, the waivers provide that:

  • the limit of seven full-time PAs or APRNs delegated prescriptive authority by an individual physician has been suspended;

  • any prescriptive delegation does not need to be in writing; and

  • the PAs, APRNs and their delegating supervising physicians do not need to register the prescriptive delegation with the Texas Medical Board (“TMB”).

Supervising physicians and their PAs/APRNs remain responsible for meeting the standard of care for all delegated acts. If prescriptive delegation continues beyond the disaster declaration, the relationship between the physician and PA/APRN will be subject to the standard TMB requirements, including a written prescriptive authority agreement and registration with TMB. The TMB has released an FAQ in response to the Governor’s waivers which can be found here .

Weaver Johnston & Nelson, PLLC
10440 N. Central Expressway, Suite 1400
Dallas, Texas 75231
Phone: (214) 705-3515 
Ashley E. Johnston
Phone: (214) 763-8296
Board Certified – Health Law
Texas Board of Legal Specialization
Joshua M. Weaver
Phone: (214) 705-3516
Board Certified – Health Law
Texas Board of Legal Specialization
Joseph E. Nelson
Phone: (214) 705-3907
Board Certified – Health Law
Texas Board of Legal Specialization
Steve Litke
Phone: (972) 427-7685
Chris Reed
Phone: (214) 705-3935
Kevin Mitchell
Phone: (469) 680-9049
Shannon Cahalan
Phone: (214) 938-9898
Stephanie Toth
Phone: (469) 480-9729
Rachael Nelson Gearing
Phone: (469) 680-9609
Vicki Wanjura
Phone: (214) 587-6026
Paul Wehrmann
Phone: (214) 957-0919
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