'When we walk to the edge of all the light we have and take a step into the darkness of the unknown, we must believe one of two things will happen ~ there will be something solid for us to stand upon, or we will be taught to fly.' ~Anonymous

Update on the 81st Texas Legislative Session

By Margie Dorman-O'Donnell, MSN, RN
(With appreciation for the support of TNA Staff Gretchen Birdwell and Jim Willmann, JD)

How does one spell SUCCESS?
Texas Nurses Association, that's how!

What a session we just completed! Here's a snapshot of what nursing accomplished:

  • Nursing Education Funding (SB1) $49.7 million was appropriated to the Coordinating Board for nursing schools to increase enrollment and graduation rates to address the nursing shortage.
  • Staffing and Mandatory Overtime (SB 476) - Hospitals will be required to adopt a policy which:
    1. requires a process for developing, implementing and enforcing a nursing unit and shift based staffing plan.
    2. sets minimal staffing levels for each patient care unit, each shift based on multiple nurse, patient and hospital considerations
    3. includes a method of adjusting the plan to meet changing patient needs
    4. provides a contingency plan if patient care needs exceed resources
    5. is given significant consideration by the hospital as recommended by the committee
    6. provides for a membership of a minimum of 60% direct care nurses
    7. This bill also prohibits required mandatory overtime
  • Just Culture Environment expansion (SB 1415) This bill allows:
    1. the BON more options when addressing minor practice violations including non-disciplinary, non-public corrective actions
    2. the BON to pilot the concept of deferred disciplinary action
    3. builds on SB 993 passed in the 2007 legislative session in support of a less punitive practice environment
  • Omnibus Bill (HB 3961)
    1. Protects confidential personal contact information and personal health information collected by the BON
    2. Addresses the BON's use of psychological and physiological evaluations in disciplinary action
  • Surgical Techs (HB 643) successful negotiated bill that carefully defined surgical technologists' scope of practice and maintains the supervision of the circulating OR RN.
  • HB 4355 - Texas Nurses Association successfully negotiated a compromise with Excelsior College to accept a research study on alternate ways to assure clinical competency of RN graduates and permits Excelsior graduates to be licensed pending the results of this study. Excelsior is a New York based nursing program that utilizes a single assessment competency rather than supervised clinical experience.
  • Sovereign Immunity - Texas Nurses Association unsuccessfully attempted to address the lack of protections for publicly employed nurses

Since the 81st Legislative Session ended, Texas Nurses Association has actively supported the publicly employed nurses in Winkler County, Texas who were indicted for reporting practice concerns of a physician at the hospital they formerly worked in.

TNA introduced 5 legislative initiatives and passed 4. There were a total of 7419 bills were introduced to the legislature and 1459 passed. Texas Nurses Association had to monitor all health related bills in order to identify those bills with implications for nursing.

The need for Texas Nurses Association is never ending and goes on each day of the year.

Is your interest piqued yet? Join us September the 17th for a presentation in more detail about this past session and the current state of nursing concerns in Texas! TNA NEEDS YOU!!!!!!!!!!!!!! Join TNA in its efforts to protect and perfect OUR nursing practice here in Texas!

Download the Update on the 81st Texas Legislative Session


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Kip Averitt Republican State Senate Bosque, Coryell, Ellis, Falls, Hill, Hood, Johnson, Mclennan, Navarro, Somervell
Dan Barrett Republican State House of Representatives Tarrant (part)
Joe Barton Republican U.S. House of Representatives Tarrant, Johnson
Kim Brimer Republican State Senate Tarrant (part)
Michael Burgess Republican U.S. House of Representatives Tarrant
Lon Burnam Democrat State House of Representatives Tarrant (part)
John Cornyn Republican U.S. Senate Erath, Hood, Johnson, Palo Pinto, Parker, Somervell, Tarrant
Chet Edwards Democrat U.S. House of Representatives Somervell, Palo Pinto, Hood, Erath
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Charlie Geren Republican State House of Representatives Tarrant (part)
Kay Granger Republican U.S. House of Representatives Tarrant, Parker
Kelly Hancock Republican State House of Representatives Tarrant (part)
Kay Hutchison Republican U.S. Senate Erath, Hood, Johnson, Palo Pinto, Parker, Somervell, Tarrant
Jim Keffer Republican State House of Representatives Brown, Eastland, Shackelford, Stephens, Palo Pinto, Hood
Phil King Republican State House of Representatives Parker, Wise
Kenny Marchant Democrat U.S. House of Representatives Tarrant
Sid Miller Republican State House of Representatives Erath, Comanche, Mills, Hamilton, Coryell, Somervell
Jane Nelson Republican State Senate Denton, Tarrant
Rob Orr Republican State House of Representatives Bosque, Johnson
Diane Patrick Republican State House of Representatives Tarrant (part)
Paula Pierson Democrat State House of Representatives Tarrant (part)
Todd Smith Republican State House of Representatives Tarrant (part)
Vicki Truitt Republican State House of Representatives Tarrant (part)
Marc Veasey Democrat State House of Representatives Tarrant (part)
Bill Zedler Republican State House of Representatives Tarrant (part)