All Roll Calls
Yes: 269 • No: 3
TexasHB 374989th Legislature Regular SessionHouse
Relating to the regulation of the provision of elective intravenous therapy.
Sponsored By: Donna Campbell (Republican), Donna Howard, Suleman Lalani, Tom Oliverson, Angelia Orr, VanDeaver
Signed by Governor
Occupational Regulation--Health OccupationsJENIFER'S LAWNURSES & NURSE AIDESPHYSICIAN ASSISTANTSPHYSICIANS
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Doctors can delegate elective IV treatment
Beginning September 1, 2025, Texas doctors can delegate prescribing or ordering elective IV treatment to physician assistants or advanced practice registered nurses. Doctors can also delegate giving the treatment to these providers or registered nurses. All delegated care requires adequate physician supervision. Prescribing and ordering must follow state rules for physician delegation. These permissions apply to treatment that meets the law's definition of elective IV therapy.
Doctors face caps on IV agreements
Beginning September 1, 2025, Texas agreements allowing clinicians to prescribe elective IV treatment count toward the state's maximum for prescribing agreements. The exception to that maximum does not apply to elective IV agreements. This limits the prescribing arrangements doctors and advanced practice registered nurses can make.
Sponsors & Cosponsors
Sponsors
Donna Campbell
Republican • Senate
Donna Howard
House
Suleman Lalani
House
Tom Oliverson
House
Angelia Orr
House
VanDeaver
Affiliation unavailable
Cosponsors
Trent Ashby
House
Jeff Barry
House
Keith Bell
House
Salman Bhojani
House
Brad Buckley
House
Benjamin Bumgarner
House
Angie Chen Button
House
Pat Curry
House
Mano DeAyala
House
Cassandra Garcia Hernandez
House
Carrie Isaac
House
Stan Kitzman
House
Shelley Luther
House
Claudia Ordaz
House
Joanne Shofner
House
David Spiller
House
Denise Villalobos
House
Trey Wharton
House
Roll Call Votes
Senate vote • 5/27/2025
Record vote
Yes: 0 • No: 0
Senate vote • 5/27/2025
Record vote
Yes: 0 • No: 0
House vote • 5/16/2025
Record vote
Yes: 117 • No: 2
House vote • 5/15/2025
Record vote
Yes: 132 • No: 0
House vote • Unknown
Committee vote: Public Health
Yes: 11 • No: 1
Senate vote • Unknown
Committee vote: Health & Human Services
Yes: 9 • No: 0
Actions Timeline
Effective on 9/1/25
6/20/2025HouseSigned by the Governor
6/20/2025HouseSent to the Governor
5/30/2025HouseSigned in the Senate
5/28/2025SenateSigned in the House
5/28/2025HouseReported enrolled
5/28/2025HouseSenate passage reported
5/28/2025HousePlaced on local & uncontested calendar
5/28/2025SenateRecord vote
5/27/2025SenatePassed
5/27/2025SenateRead 3rd time
5/27/2025SenateRecord vote
5/27/2025SenateThree day rule suspended
5/27/2025SenateVote recorded in Journal
5/27/2025SenateRead 2nd time & passed to 3rd reading
5/27/2025SenateRules suspended-Regular order of business
5/27/2025SenatePlaced on intent calendar
5/26/2025SenateCommittee report printed and distributed
5/23/2025SenateRecommended for local & uncontested calendar
5/23/2025SenateReported favorably w/o amendments
5/23/2025SenateVote taken in committee
5/22/2025SenateConsidered in public hearing
5/22/2025SenateLeft pending in committee
5/21/2025SenateTestimony taken in committee
5/21/2025SenateConsidered in public hearing
5/21/2025Senate
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
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