APN Delegation of Prescriptive Authority ,The Texas Medical Board (TMB) adopted new rules implementing SB 532 on November 27, 2009.

Physicians Register Rx Delegation Now

The Texas Medical Board (TMB) adopted new rules implementing SB 532 on November 27, 2009. One of those provisions requires physicians who delegate prescriptive authority to register that delegation to the TMB.

All physicians who currently delegate prescriptive authority to an APRN must complete an APN Delegation Form and submit it to the TMB now. A link to that form is posted on the TMB Website . Download the form titled, APN - Registration of Prescriptive Delegation Form (PDF)

APRNs that have delegated prescriptive authority should inform their delegating physicians about this new requirement. The form requires both the physicians and APRNs signatures.

The form includes instructions and a summary of the changes created by SB 532. The instructions state that physicians are responsible for notifying the TMB when a physician delegates prescriptive authority, and when the physician terminates that authority. The same form is used for both. A different form will need to be used for each APRN to whom the physician delegates prescriptive authority. Alternate delegating physicians do not submit a form

The completed form may be mailed or faxed to the Texas Medical Board. The address and fax number are provided at the top of the instructions. Only submit the completed one-page registration form. Physicians must keep a copy for their records and it would be wise for APRNs to do the same.

The instructions are detailed and list the sites where a physician is limited to delegating to no more than four full time equivalents. (Remember, that limitation does not apply to hospital facility-based and medically underserved practices.) The TMB lists a phone number and email address should a physician have questions about completing the form or the physicians obligation to register as a delegating physician. For general information about prescriptive authority go to the Prescriptive Authority Page on CNAPs Website.