New Bill Would Give Collaborative Practice to PAs in Texas

Posted By American Med Spa Association, Tuesday, March 16, 2021

A new bill in the Texas House of Representatives would allow physician assistants (PAs) to form collaboration agreements with physicians. The bill is sponsored by Representative Michelle Beckley and is known as House Bill 4352 (HB 4352); you can be read the bill in full here. It is awaiting assignment to a committee for further consideration.
Currently, PAs in Texas must practice under a written supervision agreement with a physician. Their scope of practice and prescriptive authority are defined in these written agreements. HB 4352 would change this relationship to one of collaboration. It would require that PAs enter into written collaboration agreements with a physician. The collaboration will take into consideration the scope of practice of the PA based on their practice level and their education, training and experience. The scope of practice includes medical and surgical services, as well as:
Under this new bill, PAs would be professionally and legally responsible for the care they provide. This bill would not give practice independence, as a written agreement is still present, but it would vastly simplify the paperwork needed to practice and provide substantial flexibility to the PA’s practice. This would be a step forward in the national trend to reduce practice restrictions on PAs and other advanced practitioners.
We will be monitoring HB 4352 as it advances though the Texas legislative process this year.