On September 17, 2024, the Texas Senate Health and Human Services Committee held an interim hearing on scope of practice expansion for nurse practitioners and other clinicians. In this third episode related to that hearing, Texas Medical Association (TMA) president Ray Callas MD discusses the importance of physician oversight for nonphysician practitioners and answers questions from legislators.

Importantly, Dr. Callas notes that in the past, TMA was asked by legislators to ‘come to the table’ to collaborate with nurse practitioners and to loosen supervision as a compromise to independent practice. But complying with this request is now being used as rationale for removing oversight completely, with legislators arguing, “Well, if you don’t need to be on site / can supervise multiple NPs, then are you even necessary?”

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