TX SB3055

Authorizes certain advanced practice registered nurses (APRNs) to practice independently in counties with populations under 68,750 after meeting specific requirements: either 10 years/20,000 hours of experience, or graduation from a Texas-based nursing program plus 4 years/8,000 hours under a prescriptive authority agreement with a physician

Grants qualifying independent APRNs authority to diagnose, treat, prescribe controlled substances (Schedules III-V), dangerous drugs, and devices, and to serve as primary care providers without physician supervision in eligible rural counties

Increases the maximum number of APRNs and physician assistants with whom a physician may enter into a prescriptive authority agreement from seven to nine

Requires annual reporting by independent APRNs on practice locations, patient numbers, and controlled substance prescriptions, and by physicians on delegation agreement details including fees charged and practice restrictions imposed

Mandates the Texas Board of Nursing to adopt implementing rules by February 1, 2026, and conduct a study by September 1, 2028, on the law's impact on rural healthcare access, patient outcomes, and hospital costs