Texas HB 3794 Did Not Become Law in the 89th Legislature, APRN Delegation Rules Remain

Texas Legislature Online records HB 3794, an APRN licensing and independent-practice proposal, as left pending in House Public Health on April 14, 2025; it did not become law. The item is about APRNs, including nurse practitioners—not a PA full-practice bill.

Current Texas rules still require physician-delegated authority for APRN medical aspects and prescribing, but the operating mechanism depends on setting: most non-facility prescriptive arrangements use a Prescriptive Authority Agreement, while qualifying facility-based practices may use protocols or other written authorization. Nursing aspects of APRN practice are not physician-delegated.

Credentialing and clinical leaders should verify the current statute, Board of Nursing guidance, facility status, payer rules, privileges, and the actual agreement before publishing a role; never upload licenses, DEA information, agreements, or employee files to FQHC Talent.