88R12726 MLH-D     By: Allison H.B. No. 4346       A BILL TO BE ENTITLED   AN ACT   relating to joint practice by certain health care professionals.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Sections 301.012(a-1), (a-2), (a-3), (a-6), and   (a-7), Business Organizations Code, are amended to read as follows:          (a-1)  Persons licensed as physicians under Subtitle B,   Title 3, Occupations Code, [and] persons licensed as physician   assistants under Chapter 204, Occupations Code, and persons   licensed as advanced practice registered nurses under Subtitle E,   Title 3, Occupations Code, may form and own a professional   association or a professional limited liability company to perform   professional services that fall within the scope of practice of   those practitioners.          (a-2)  A physician assistant or an advanced practice   registered nurse may not be an officer in the professional   association or limited liability company.          (a-3)  A physician assistant or an advanced practice   registered nurse may not contract with or employ a physician to be a   supervising physician of the physician assistant or advanced   practice registered nurse or of any physician in the professional   association or limited liability company.          (a-6)  A physician assistant, an advanced practice   registered nurse, or a combination of physician assistants or   advanced practice registered nurses may have only a minority   ownership interest in an entity created under this section. The   ownership interest of an individual physician assistant may not   equal or exceed the ownership interest of any individual physician   owner. A physician assistant or combination of physician assistants   may not interfere with the practice of medicine by a physician owner   or the supervision of physician assistants by a physician owner.          (a-7)  The Texas Medical Board, [and] the Texas Physician   Assistant Board, and the Texas Board of Nursing continue to   exercise regulatory authority over their respective license   holders according to applicable law. To the extent of a conflict   between Subtitle B, Title 3, Occupations Code, and Chapter 204,   Occupations Code, or any rules adopted under those statutes,   Subtitle B, Title 3, or a rule adopted under that subtitle controls.          SECTION 2.  This Act takes effect September 1, 2023.