TX HB3794

Authorizes the Texas Board of Nursing to grant independent practice authority to qualified Advanced Practice Registered Nurses (APRNs), allowing them to practice without physician supervision if they hold an active unencumbered license, current national certification, a bachelor's degree plus master's or doctoral degree from an accredited program, and have no pending disciplinary actions

Expands the scope of practice for independent APRNs to include ordering and interpreting diagnostic tests, formulating medical diagnoses, prescribing therapeutic measures, prescribing controlled substances (Schedules II-V) and dangerous drugs, and serving as primary care providers of record

Requires government employee health plans (state employees, teachers, school employees, and higher education employees) to reimburse independent APRNs at rates applicable to their services and allows plan administrators to count them toward network adequacy standards

Adds APRNs authorized under the new independent practice provisions to the definition of "practitioner" in multiple health-related statutes, giving them parallel authority to physicians for prescribing epinephrine auto-injectors, opioid antagonists, and durable medical equipment

Requires the Texas Board of Nursing to adopt implementing rules by February 1, 2026, and mandates government health plan administrators to submit cost savings reports by December 1, 2026