89R9679 BEE-F     By: Howard H.B. No. 5533       A BILL TO BE ENTITLED   AN ACT   relating to the prescribing and ordering of Schedule II controlled   substances in a narcotic drug treatment program by certain advanced   practice registered nurses and physician assistants.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 157.0511(b-1), Occupations Code, is   amended to read as follows:          (b-1)  A physician may delegate the prescribing or ordering   of a controlled substance listed in Schedule II as established by   the commissioner of the Department of State Health Services under   Chapter 481, Health and Safety Code, only:                (1)  in a hospital facility-based practice under   Section 157.054, in accordance with policies approved by the   hospital's medical staff or a committee of the hospital's medical   staff as provided by the hospital bylaws to ensure patient safety,   and as part of the care provided to a patient who:                      (A)  has been admitted to the hospital for an   intended length of stay of 24 hours or greater; or                      (B)  is receiving services in the emergency   department of the hospital; [or]                (2)  as part of the plan of care for the treatment of a   person who has executed a written certification of a terminal   illness, has elected to receive hospice care, and is receiving   hospice treatment from a qualified hospice provider; or                (3)  as part of a narcotic drug treatment program that   has been issued a permit under Chapter 466, Health and Safety Code.          SECTION 2.  This Act takes effect immediately if it receives   a vote of two-thirds of all the members elected to each house, as   provided by Section 39, Article III, Texas Constitution.  If this   Act does not receive the vote necessary for immediate effect, this   Act takes effect September 1, 2025.