TX HB2532

Establishes independent practice authority for advanced practice registered nurses (APRNs) including nurse practitioners, nurse midwives, nurse anesthetists, and clinical nurse specialists, allowing them to practice without physician supervision in rural counties or medically underserved areas

Authorizes the Texas Board of Nursing to grant APRNs prescriptive authority for controlled substances (Schedules II-V), dangerous drugs, nonprescription drugs, and medical devices without requiring a physician delegation agreement

Expands APRN scope of practice to include ordering and interpreting diagnostic tests, formulating medical diagnoses, prescribing therapeutic measures, serving as primary care providers of record, and making referrals to other providers

Requires the Texas Board of Nursing to adopt implementing rules by February 1, 2026, and establishes continuing education requirements and application fees for APRNs seeking independent practice authorization

Makes conforming amendments across multiple Texas codes (Education, Health and Safety, Human Resources, Insurance, Labor, Occupations) to recognize APRNs as authorized prescribers alongside physicians in various contexts including schools, Medicaid, and workers' compensation