TX SB2695

Establishes the Rural Admission Medical Program (RAMP) to recruit and support students from Texas counties with populations under 25,000 who are pursuing medical education, providing undergraduate and graduate scholarships, summer stipends, and guaranteed admission to at least one participating medical school

Requires participating medical schools to set aside at least 10% of enrollment capacity for RAMP students and provide internship and mentoring programs, with a council of faculty representatives from each medical school administering the program

Creates a Rural Advanced Practice Registered Nurse Delegation and Supervision Program administered by Texas A&M University System Health Science Center, allowing physicians to enter into supervision agreements with APRNs practicing in primary care fields in counties with populations of 30,000 or fewer

Increases the physician supervision limit from the standard cap to 10 APRNs (or full-time equivalent) under the rural program, prohibits physicians from charging fees for these rural supervision agreements, and requires physicians to review at least 5% of APRN charts electronically

Mandates biennial reporting to state leadership on program implementation, expenditures, student enrollment data, and healthcare access impact, with rules to be adopted by February 1, 2026, and an effective date of September 1, 2025