TX SB2669

Authorizes podiatrists to delegate podiatric medical acts to qualified advanced practice registered nurses (APRNs) and podiatric medical assistants, provided the delegating podiatrist determines the act can be performed properly and safely

Permits APRNs to conduct office visits with patients, perform minor procedures, oversee clinic operations, and conduct preoperative/postoperative assessments and medication management without a supervising podiatrist present

Establishes prescriptive authority agreements allowing podiatrists to delegate drug and device prescribing or ordering to APRNs, with registration requirements for the department to track these delegations

Requires the Texas Health and Human Services Commission to adopt rules for prescriptive authority agreements that are at least as stringent as requirements for physician delegations under Chapter 157

Limits podiatrist liability for APRN actions under prescriptive authority agreements unless the podiatrist had reason to believe the APRN lacked competency to perform the delegated act

Takes effect September 1, 2025