Preconditions for Advanced Nurse Practitioners: Senate Act 406, effective 11/1/2013, requires a prescriptive authority agreement between a physician and an AFN, an authority that has been delegated. Senate Bill 406 (including new rules) on the online registration system will be available in January 2014. Board Rule 185.10 applies to physician practice. Yes, a PA can call a prescription at a pharmacy. However, the PA can only do so on the instruction of a doctor. Please note that, in accordance with Senate Act 195, the Texas Department of Public Safety (DPS) Registration Requirement for Controlled Substances (CSR) was abolished on September 1, 2016. There is no limit to the number of supervising physicians a PA can have. Senate Act 532, effective 1/31/2010, requires physicians to register with the TMB if doctors delegate the prescriptive authority to APA or LES APNs. The addition of a new supervisory physician does not end another supervision that currently exists. Any current medical assistance relationship may be terminated with the registration system for supervision and pre-registering delegation. You can register a new supervisor via the online registration system supervision and prescriptive delegation. Please note that this is a two-step process and the attending physician must complete the registration.
Yes, the PAs supervisory physician must delegate the standard-setting authority that allows a PA to sign prescriptions for controlled substances, also called programmed drugs, as well as dangerous drugs. However, PAAs are generally limited to Match III – V sheets (Schedule IIs are allowed in very limited circumstances). All prescription drugs, which are not controlled substances, fall into the category of “dangerous drugs.” Standardization medical assistants must have their own AED numbers to prescribe controlled substances. In addition, medical assistants must have the name of their current delegated physician, who presents the standardization power to the DEA. Preconditions for doctors: within 30 days of the change or supplement. This can be done through the online monitoring and registration system of the prescriptive delegation.