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Laws & Rules - Rule Changes

Proposed Rule Changes

The Texas Board of Nursing submits all proposed rule changes to the Texas Register, a weekly publication that serves as the notice bulletin of state agency rulemaking. The Texas Register contains emergency, proposed, and adopted rules; notices of withdrawn and repealed rules; notices of rule review and other information submitted by state agencies for publication. The Texas Register is maintained by the Office of the Secretary of State and viewed from this link: http://www.sos.state.tx.us/texreg/index.shtml.

Proposed rule changes:

in the December 9, 2016, Texas Register:

The Texas Board of Nursing (Board) proposes amendments to §211.7, concerning Executive Director; §214.3, concerning Program Development, Expansion and Closure, and §215.3, concerning Program Development, Expansion and Closure. The proposed amendments may be viewed at:  
http://www.sos.state.tx.us/texreg/pdf/currview/index.shtml.


in the August 12, 2016, Texas Register:

The Texas Board of Nursing (Board) proposes amendments to §217.14, concerning Registered Nurses Performing Radiologic Procedures, and to §223.1, concerning Fees. The proposed amendments may be viewed at: 
http://www.sos.state.tx.us/texreg/index.shtml.


in the May 20, 2016, Texas Register:

The Texas Board of Nursing proposes an amendment to §211.9, concerning General Considerations.  The proposed amendment addresses the parliamentary procedures under which Board proceedings will be conducted.  The proposed amendment may be viewed at:
http://www.sos.state.tx.us/texreg/pdf/backview/0520/0520prop.pdf


in the May 13, 2016, Texas Register:

The Texas Board of Nursing (Board) proposes amendments to §217.4, concerning Requirements for Initial Licensure by Ex­amination for Nurses Who Graduate from Nursing Education Programs Outside of United States' Jurisdiction.  The proposed amendments are necessary to treat foreign edu­cated nurse applicants for initial licensure in Texas more similarly to individuals educated within the United States and to remove unnecessary barriers to licensure for these individuals.  The proposed amendments may be viewed at:
http://www.sos.state.tx.us/texreg/pdf/backview/0513/0513prop.pdf


in the February 26, 2016, Texas Register:

The Texas Board of Nursing (Board) proposed amendments to §214.6, concerning Administration and Organization. The Board also proposed amendments to §214.8, concerning Students and §215.8, concerning Students. The proposed amendments may be viewed at:
http://www.sos.state.tx.us/texreg/archive/February262016/Proposed%20Rules/22.EXAMINING%20BOARDS.html#23


in the February 16, 2016, Texas Register:

The Texas Board of Nursing (Board) proposed amendments to §211.6, concerning Committees of the Board. The Board also proposed amendments to §213.23, concerning Decision of the Board and §213.32, concerning Corrective Action Proceedings and Schedule of Administrative Fines. The proposed amendments may be viewed at:
http://www.sos.state.tx.us/texreg/archive/February122016/Proposed%20Rules/22.EXAMINING%20BOARDS.html#50


in the November 6, 2015, Texas Register:

The Texas Board of Nursing (Board) proposes amendments to §223.1, Concerning Fees. The public comment period ends December 6, 2015. The proposal was published in the November 6, 2015, issue of the Texas Register and may be viewed at:
http://www.sos.state.tx.us/texreg/pdf/backview/1106/1106prop.pdf.


in the August 28, 2015, Texas Register:

The Texas Board of Nursing (Board) proposes amendments to §213.30 and §213.33 and the repeal of current §§213.27, 213.28, and 213.29, as well as new §§213.27, 213.28, and 213.29. The proposals are the result of the Eligibility and Disciplinary Advisory Committee's review of the Board's eligibility and disciplinary sanction policies, criminal guidelines, and related rules. The proposals were published in the August 28, 2015, issue of the Texas Register and may be viewed at:
http://www.sos.state.tx.us/texreg/pdf/backview/0828/0828prop.pdf


in the November 21, 2014, Texas Register:

The Texas Board of Nursing (Board) proposes amendments to §223.1, concerning Fees. The amendments are proposed under the authority of the Occupations Code §301.151 and §301.155 and are necessary to comply with budgetary requirements established by the Texas Legislature. The proposed amendments will reduce each current level of licensure renewal by $10, thereby making the new renewal fee for a vocational nurse license $45; the renewal fee for a registered nursing license $60; and the renewal fee for an advanced practice registered nursing license $50.
http://www.sos.state.tx.us/texreg/pdf/backview/1121/1121prop.pdf.


in the August 8, 2014, Texas Register:

The Board proposes amendments to 22 Tex. Admin. Code §217.1, Pertaining to Definitions.  The proposal was published in the Texas Register on August 8, 2014, and the comment period ends September 7, 2014. You can access the publication at: 
http://www.sos.state.tx.us/texreg/pdf/backview/0808/0808prop.pdf.

The Board proposes amendments to 22 Tex. Admin. Code §215.5, Pertaining to Philosophy/Mission and Objectives/Outcomes. The proposal was published in the Texas Register on August 8, 2014, and the comment period ends September 7, 2014. You can access the publication at: http://www.sos.state.tx.us/texreg/pdf/backview/0808/0808prop.pdf.

The Board proposes amendments to 22 Tex. Admin. Code §223.1, Pertaining to Fees. The proposal was published in the Texas Register on August 8, 2014, and the comment period ends September 7, 2014. You can access the publication at:
http://www.sos.state.tx.us/texreg/pdf/backview/0808/0808prop.pdf.


on August 1, 2014 Proposed Change Withdrawn:

The Board has withdrawn the proposed repeal of Chapter 221, relating to Advanced Practice Nurses, and proposed new Chapter 221, relating to Advanced Practice Registered Nurses. The withdrawal can be viewed at:
http://www.sos.state.tx.us/texreg/pdf/backview/0801/0801with.pdf


Rule Hearing Thursday, July 3, 2014

The Texas Board of Nursing (Board) is holding a public hearing on Thursday, July 3, 2014, to receive public comments on proposed new Chapter 221, §§221.1-221.15, relating to Advanced Practice Registered Nurses, as was published in the Texas Register on May 30, 2014 (39 TexReg 4101-4118). This hearing is designed to provide an opportunity for nurses and others to comment on the proposed new chapter.

The hearing will take place on Thursday, July 3, 2014, from 1:00 PM - 3:00 PM, or until all comments are received, if sooner, in Room 100, in the William P. Hobby Building, located at 333 Guadalupe, Austin, Texas 78701.

Proposed new Chapter 221, §§221.1-221.15, relating to Advanced Practice Registered Nurses, may be viewed in the May 30, 2014, edition of the Texas Register, located at:
http://www.sos.state.tx.us/texreg/pdf/backview/0530/0530prop.pdf.

The Board appreciates all stakeholder participation and feedback on the proposed new rule. Feedback received is important to the Board and makes a difference in the regulation of nursing in the State of Texas. Because many participants may wish to provide public comments at this hearing, the following guidelines will be used:

  1. Any person who wishes to appear before the Board during the hearing shall present himself/herself in person at the meeting and must fill out a registration form, which will be available at the meeting. Individuals not completing this form prior to the beginning of the hearing may not be allowed to speak, subject to the discretion of the President of the Board, or her designee.
  2. Each speaker will be allowed no more than ten (10) minutes to present verbal comments.
  3. Speakers are requested not to read prior written submissions.
  4. Each organization with several representative members in attendance should have one representative speaker present the organization's comments.
  5. The public hearing will be presided over by the Board's President, or her designee, who will reserve the right to modify time limits and order of presentation, should there be good cause to do so.

Persons with disabilities or who have special needs and who plan to attend the hearing should contact Rene McDonald at 512-305-6878.

In the June 6, 2014, Texas Register:

The Texas Board of Nursing (Board) proposes new §213.35 pertaining to Knowledge, Skills, Training, Assessment and Research (KSTAR) Pilot program.  The new rule is proposed under the authority of the Occupations Code §301.1605(a) and §301.453. The new rule will effectuate a two-year pilot program designed to evaluate the use of individualized competency assessments and targeted remediation plans as a form of disciplinary action for nursing practice violations of the Nursing Practice Act (NPA). The KSTAR pilot disciplinary orders may be offered as an alternative to conventional disciplinary sanctions of warning with probationary stipulations as authorized by §301.453 of the Occupations Code under appropriate circumstances. The pilot will permit the evaluation of this alternative form of discipline to determine if individualized competency assessments combined with a designed remedial plan can effectively address competency questions and reduce the need for extended probation and monitoring of disciplined nurses. A copy of the proposed new rule may be found at: http://www.sos.state.tx.us/texreg/pdf/backview/0606/0606prop.pdf


In the May 30, 2014, Texas Register:

The Texas Board of Nursing (Board) proposes the repeal of Chapter 221, §§221.1 -221.4 and §§221.6 -221.17, concerning Advanced Practice Nurses. This repeal is neces¬sary because the Board is proposing a new chapter concerning advanced practice registered nurses (APRNs). The proposed new chapter, 22 TAC Chapter 221, §§221.1 -221.15, reorganizes and/or clarifies the existing provisions of Chapter 221, codifies existing Board policy in rule, and aligns the chapter's provisions with the APRN Consensus Model (Consensus Model) and the National Council State Board of Nursing (NCSBN) model rules. A copy of the proposed repeal and new chapter may be found at: http://www.sos.state.tx.us/texreg/pdf/backview/0530/0530prop.pdf

In the May 23, 2014, Texas Register:

The Texas Board of Nursing (Board) proposes amendments to §213.32, concerning Corrective Action Proceedings and Schedule of Administrative Fines. The amendments are proposed under the authority of the Occupations Code Chapter 301, Subchapter N and §301.151, as well as the general authority of Senate Bill (SB) 1415, enacted by the 81st Legislature, Regular Session, effective September 1, 2009, and SB 1058, enacted by the 83rd Legislature, Regular Session, effective September 1, 2013, and are necessary to specify additional types of violations for which a corrective action may be imposed. The proposed rules may be found at the following link: http://www.sos.state.tx.us/texreg/pdf/backview/0523/0523prop.pdf.

The Texas Board of Nursing (Board) proposes amendments to §213.34, concerning Deferred Disciplinary Action Pilot Program. The amendments are proposed under the authority of the Occupations Code Chapter 301, Subchapter N and §301.151, as well as the general authority of Senate Bill (SB) 1415, enacted by the 81st Legislature, Regular Session, effective September 1, 2009, and SB 1058, enacted by the 83rd Legislature, Regular Session, effective September 1, 2013, and are necessary for consistency with the newly enacted legislation and to implement deferred discipline as a permanent disciplinary option under the Board's rules. The proposed rules may be found at the following link: http://www.sos.state.tx.us/texreg/pdf/backview/0523/0523prop.pdf.

The Texas Board of Nursing (Board) proposes amendments to §214.9, concerning Program of Study. The amendments are proposed under the authority of the Occupa-tions Code §301.151 and §301.157(b) and are necessary to clarify two of the existing provisions of the section regarding major curriculum changes and eligibility for new program proposals. The proposed rules may be found at the following link: http://www.sos.state.tx.us/texreg/pdf/backview/0523/0523prop.pdf.

The Texas Board of Nursing (Board) proposes amendments to §215.9, concerning Program of Study. The amendments are proposed under the authority of the Occupations Code §301.151 and §301.157(b) and are necessary to clarify the existing provisions of the section regarding major curriculum changes and eligibility for new program proposals and to address potential changes in nursing program curriculum as a result of Senate Bill (SB) 215, enacted by the 83rd Legislature, Regular Session, effective September 1, 2013, and SB 497, enacted by the 83rd Legislature, Regular Session, effective June 14, 2013. The proposed rules may be found at the following link: http://www.sos.state.tx.us/texreg/pdf/backview/0523/0523prop.pdf.


In the February 28, 2014, Texas Register:

The Texas Board of Nursing (Board) proposes new Chapter 227, pertaining to Pilot Programs for Innovative Applications to Vocational and Professional Nursing Education, §§227.1 -227.4. The new chapter is proposed under the authority of the Occupations Code §301.151 and §301.1605 and establishes the procedures and requirements that apply to pilot programs for innovative applications to vocational and professional nursing education. May be viewed at http://www.sos.state.tx.us/texreg/pdf/backview/0228/0228prop.pdf

The Texas Board of Nursing (Board) proposes the repeal of existing Chapter 227, §§227.1 -227.6, concerning Pilot Programs for Innovative Applications to Professional Nursing Education. The Board is simultaneously proposing new Chapter 227, concerning Pilot Programs for Innovative Applications to Vocational and Professional Nursing Education, that reorganizes the provisions of the chapter, applies the provisions of the chapter to both professional and vocational nursing education programs, and establishes the requirements and procedures that will apply to pilot programs for innovative applications to professional and vocational nursing education.
May be viewed at http://www.sos.state.tx.us/texreg/pdf/backview/0228/0228prop.pdf

 


in December 6, 2013, Texas Register:

The Texas Board of Nursing proposes new section 228.1, pertaining to Pain Management. The new section is proposed under the authority of the Occupations Code §§157.0511(b), 168.002, 168.201, 301.002, 301.151, 301.452, 301.453, and 301.4531, as well as the general authority of Senate Bill (SB) 406 (83rd Legislature, Regular Session, effective November 1, 2013); House Bill (HB) 1803 (83rd Legislature, Regular Session, effective January 1, 2014); and SB 1643 (83rd Legislature, Regular Session, effective September 1, 2013), and prescribes the minimum standards of nursing practice for an advanced practice registered nurse (APRN) who provides pain management services. May be viewed at http://www.sos.state.tx.us/texreg/pdf/backview/1206/1206prop.pdf

The Texas Board of Nursing also proposes amendments to Chapter 216, §§216.1 -216.3 and 216.5 216.11. These amendments are proposed under the authority of the Occupations Code §§301.151, 301.303, 301.305, 301.306, and 301.307 and the Health and Safety Code §323.004(b-1) and §323.0045 and are necessary to implement the requirements of Senate Bill (SB) 1058 and SB 1191, both enacted by the 83rd Texas Legislature, Regular Session, and effective September 1, 2013. The proposed amendments also amend the definition of the term "advanced practice registered nurse" for consistency with the Advanced Practice Registered Nurse Consensus Model of the National Council of State Boards of Nursing, correct outdated references and minor typographical errors in the rule text, and replace the term "continuing education" with "continuing nursing education" as appropriate throughout the rule text. The proposed amendments may be viewed at: http://www.sos.state.tx.us/texreg/pdf/backview/1206/1206prop.pdf


in November 22, 2013, Texas Register:

The Texas Board of Nursing proposes amendments to Chapter 225, §§225.1 -225.6 and 225.8 -225.11; and new §§225.12 - 225.15. The amendments and new sections are necessary in order to renumber the chapter sections and result in adding a new §225.15, concerning RN Delegation to Unlicensed Personnel and Tasks not Requiring Delegation in Independent Living Environments for Clients with Stable and Predictable Conditions.

May be veiwed at:  http://www.sos.state.tx.us/texreg/pdf/backview/1122/1122prop.pdf

Rule Hearing

September 13, 2013, 9:00am - 11:00am, or until all comments are received, if earlier.

The Texas Board of Nursing (Board) is holding a public hearing on Friday, September 13, 2013, to receive public comments on proposed new Chapter 222, relating to Advanced Practice Registered Nurses with Prescriptive Authority, as was published in the Texas Register (38 TexReg 4990-5006). This hearing is designed to provide an opportunity for nurses and others to comment on the proposed new chapter.

The hearing will take place on September 13, 2013, from 9:00 AM - 11:00 AM, or until all comments are received, if sooner, in Room 100, in the William P. Hobby Building, located at 333 Guadalupe, Austin, Texas 78701.

Proposed new Chapter 222, relating to Advanced Practice Registered Nurses with Prescriptive Authority, may be viewed at: http://www.sos.state.tx.us/texreg/pdf/backview/0809/0809prop.pdf.


Because many participants may wish to provide public comments at this hearing, the following guidelines will be used:

1. Any person who wishes to appear before the Board during the hearing shall present himself/herself in person at the meeting and must fill out a registration form, which will be available at the meeting. Individuals not completing this form prior to the beginning of the hearing may not be allowed to speak, subject to the discretion of the President of the Board, or her designee.
2. Each speaker will be allowed no more than ten (10) minutes to present verbal comments.
3. Speakers are requested not to read prior written submissions.
4. Each organization with several representative members in attendance should have one representative speaker present the organization's comments.
5. The public hearing will be presided over by the Board's President, or her designee, who will reserve the right to modify time limits and order of presentation, should there be good cause to do so.

Persons with disabilities or who have special needs and who plan to attend the hearing should contact Rene McDonald at 512-305-6878.

in August 16, 2013 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §211.7, concerning Executive Director. The amendments are proposed pursuant to the Occupations Code §301.101, 301.151, 301.452, 301.453, and 301.467 and authorize the Board's Executive Director to approve and accept certain Board Orders on behalf of the Board, without Board ratification.
  • The Texas Board of Nursing (Board) proposes amendments to §213.3, relating to Pleading. The amendments are proposed pursuant to the Government Code §2001.054 and the Occupations Code §301.151, 301.452, 301.453, 301.454, and 301.458 and are necessary to: (i) implement the provisions of Senate Bill (SB) 1058, which was enacted by the 83rd Texas Legislature, Regular Session, effective September 1, 2013; and (ii) clarify the Board's existing procedural requirements relating to licensure and eligibility matters.
  • The Texas Board of Nursing (Board) proposes an amendment to §216.3, relating to Requirements. The amendment is proposed pursuant to the Occupations Code §157.0511, 301.151, 301.152, and 301.303 and requires advanced practice registered nurses (APRNs) who prescribe controlled substances to complete an additional 3 hours of continuing education related to prescribing controlled substances each biennium. The proposed amendment is necessary for consistency with the requirements of proposed new Chapter 222, relating to Advanced Practice Registered Nurses with Prescriptive Authority, published in the Texas Register.

in August 9, 2013 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §214.3, concerning Program Development, Expansion and Closure. The amendments are proposed under the Occupations Code §301.155(a), 301.157, and 301.151 and establish, in rule, a $500 filing fee for an out-of-state vocational nursing education program seeking to conduct clinical learning experiences in Texas; and clarify that the Board may withdraw the approval of any out-of-state vocational nursing education program that fails to maintain the requirements necessary for initial approval to conduct clinical learning experiences in Texas.
  • The Texas Board of Nursing (Board) proposes amendments to §215.3, concerning Program Development, Expansion and Closure.  The amendments are proposed under the Occupations Code §301.155(a), 301.157, and 301.151 and establish, in rule, a $500 filing fee for an out-of-state professional nursing education program seeking to conduct clinical learning experiences in Texas; and clarify that the Board may withdraw the approval of any out-of-state professional nursing education program that fails to maintain the requirements necessary for initial approval to conduct clinical learning experiences in Texas.
  • The Texas Board of Nursing (Board) proposes the repeal of Chapter 222, §222.1 -222.12, concerning Advanced Practice Registered Nurses with Prescriptive Authority. The Board is simultaneously proposing a new chapter concerning advanced practice registered nurses (APRNs) with prescriptive authority in order to implement the provisions of Senate Bill (SB) 406, which was enacted by the 83rd Texas Legislature, Regular Session, effective November 1, 2013.
  • The Texas Board of Nursing (Board) proposes new Chapter 222, §222.1 -222.10, concerning Advanced Practice Registered Nurses with Prescriptive Authority. The new chapter is proposed under the authority of the Occupations Code Chapter 157 and §301.151, 301.152, 301.452, 301.453, and 301.4531 and is necessary to implement Senate Bill (SB) 406, which was enacted by the 83rd Texas Legislature, Regular Session, effective November 1, 2013.
  • The Texas Board of Nursing (Board) proposes amendments to §223.1, relating to Fees. The amendments are proposed under the Occupations Code §301.155, 301.157, and 301.151 and are necessary to: (i) establish, in rule, a $500 filing fee for an out-of-state nursing education program seeking to conduct clinical learning experiences in Texas; and (ii) reduce the licensure renewal fee for registered nurses (RN) from $73 to $70.

in August 24, 2012 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to Chapter 214, §214.1 - 214.13, relating to Vocational Nursing Education. The amendments are proposed under the Occupations Code §301.151, 301.155(a), 301.157, and 301.257 and are necessary to: (i) clarify existing requirements within the chapter; (ii) strengthen the qualifications/requirements for authors of new nursing education program proposals and proposed nursing education program directors; (iii) provide for additional oversight over the establishment of extension sites/campuses; (iv) provide for additional monitoring of programs that may be categorized as high-risk; and (v) eliminate outdated and redundant references from the chapter.
  • The Texas Board of Nursing (Board) proposes amendments to Chapter 215, §215.1 - 215.13, relating to Professional Nursing Education. The amendments are proposed under the Occupations Code §301.151, 301.155(a), 301.157, and 301.257 and are necessary to: (i) clarify existing requirements within the chapter; (ii) strengthen the qualifications/requirements for authors of new professional nursing education program proposals and proposed professional nursing education program deans/directors; (iii) provide for additional oversight over the establishment of extension sites/campuses; (iv) provide for additional monitoring of professional nursing education programs that may be categorized as high-risk; (v) require ADN programs to establish articulation agreements with BSN programs; (vi) require professional nursing education programs to include geriatric and end of life care in their program content; and (vii) eliminate outdated and redundant references from the chapter.

Rule Hearing
July 3, 2012, 1 pm - 3pm, or until all comments are received, if earlier.

The Texas Board of Nursing is holding a public hearing on Tuesday, July 3, 2012, 1:00 p.m. - 3:00 p.m., or until all comments are received, if earlier, at the William P. Hobby Building, 333 Guadalupe, Austin, Texas, 78701, Tower III, Room 100, to receive public comments on proposed amendments to 22 Texas Administrative Code section 213.23, which were published in the Texas Register in volume 37, pages 3661 through 3667. This hearing is designed to provide an opportunity for nurses and others to comment on the proposed amendments.

in May 18, 2012 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §213.23 (relating to Decision of the Board). The amendments are proposed under the authority of the Occupations Code §301.151, 301.452, and 301.459(a) and the Government Code §2001.004, 2001.058, 2001.062, 2001.141, and 2003.021(a) and are necessary to: (i) clarify the Board's existing requirements for submitting written materials to the Board and making oral presentations to the Board; (ii) facilitate fully informed Board deliberation and decisions; and (iii) specify that proposals for decision (PFDs) may not contain recommendations for sanctions, in accordance with applicable law.
  • The Texas Board of Nursing (Board) proposes amendments to §213.33 (relating to Factors Considered for Imposition of Penalties/Sanctions). The amendments are proposed under the authority of the Occupations Code §301.151, 301.304, 301.452, 301.453, 301.4531, and 301.502 and are necessary to: (i) implement the requirements of House Bill (HB) 2975 and Senate Bill (SB) 1360, both enacted by the 82nd Legislature, R.S., effective September 1, 2011; and (ii) clarify the proper application of the mitigating factors enumerated in the existing subsection.
  • The Texas Board of Nursing (Board) proposes amendments to §216.3 (relating to Requirements for Continuing Competency). The amendments are proposed under the authority of the Occupations Code §301.151, 301.303, and 301.304 and are necessary to implement the requirements of House Bill (HB) 2975 and Senate Bill (SB) 1360, both enacted by the 82nd Legislature, R.S., effective September 1, 2011.

in November 18, 2011 Texas Register

in August 19, 2011 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §223.1 (relating to Fees). This amendment is proposed under the authority of the Occupations Code §301.151 and §301.155 and is necessary to implement the requirements of House Bill (HB) 1, enacted by the 82nd Legislature, Regular Session, effective September 1, 2011, which establishes the Board's budget for the 2012-2013 biennium.

in June 3, 2011 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §217.5 (relating to Temporary License and Endorsement). The proposed amendments are authorized under the Occupations Code §301.251, 301.252, 301.256, 301.258, 301.259, 301.260, 301.303, and 301.151 and are necessary to: (i) clarify the requirements that apply to temporary licensure and endorsement; (ii) re-organize the section for clarity and readability; and (iii) ensure consistency with the requirements of §217.6 (relating to Failure to Renew License) and §217.9 (relating to Inactive Status).
  • The Texas Board of Nursing (Board) proposes amendments to §221.6 (relating to Interim Approval). The amendments are proposed under the authority of the Occupations Code §301.152, 301.258, and 301.151 and are necessary to eliminate "interim approval" for certain individuals.

in May 27, 2011 Texas Register

  • The Texas Board of Nursing (Board) proposes new §217.21 (relating to Remedial Education Course Providers and Remedial Education Courses). This new section is being proposed under the authority of the Occupations Code §301.303, 301.452, 301.453, and 301.151 and is necessary to create, in rule, an approval process for remedial education course providers (providers) and remedial education courses (courses), including the creation of new fees for the approval and renewal of courses. Additional amendments affecting 22 TAC §223.1 (relating to Fees) are being simultaneously proposed in this issue of the Texas Register.
  • The Texas Board of Nursing (Board) proposes amendments to §223.1 (relating to Fees). The amendments are proposed under the authority of the Occupations Code §301.155(a), 301.303, 301.452, 301.453, and 301.151 and are necessary to create new fees for the approval and renewal of remedial education courses.

in February 25, 2011 Texas Register

in February 11, 2011 Texas Register

in November 5, 2010 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to Chapter 214 - Vocational Nursing Education, §214.2 - 214.9. The proposed amendments are necessary to: (i) clarify definitions within the chapter; (ii) emphasize the importance of faculty supervised, hands-on patient care in clinical practice; (iii) clarify the Board's ability to change a nursing education program's level of approval status; (iv) specify minimum qualifications for vocational nursing education program administration and faculty; (v) correct typographical errors; and (vi) eliminate redundant and contradictory language within the chapter.
  • The Texas Board of Nursing (Board) proposes amendments to to Chapter 215 - Professional Nursing Education, §215.2 - 215.5, 215.8, 215.9. The proposed amendments are necessary to: i) clarify definitions within the chapter; (ii) emphasize the importance of faculty supervised, hands-on patient care in clinical practice; (iii) clarify the Board's ability to change a nursing education program's level of approval status; (iv) correct typographical errors; and (v) eliminate redundant and contradictory language within the chapter.

in August 20, 2010 Texas Register

in August 13, 2010 Texas Register

in May 21, 2010 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §211.6 (relating to Committees of the Board). The proposed amendment is necessary to implement Senate Bill (SB) 1415, enacted by the 81st Legislature, Regular Session, effective September 1, 2009, which adds new §301.1607 to the Occupations Code Chapter 301.
  • The Texas Board of Nursing (Board) proposes amendments to §213.30 (relating to Declaratory Order of Eligibility for Licensure). The amendments are proposed under the Occupations Code §53.101 - 53.105, 301.257, and 301.151 and are necessary to: (i) implement House Bill (HB) 963, enacted by the 81st Legislature, Regular Session, effective June 19, 2009, which adds new Subchapter D to the Occupations Code Chapter 53; and (ii) enhance consistency among Board rules related to eligibility determinations.
  • The Texas Board of Nursing (Board) proposes new §213.34 (relating to Deferred Disciplinary Action Pilot Program). The proposed new section is necessary to implement Senate Bill (SB) 1415, enacted by the 81st Legislature, Regular Session, effective September 1, 2009, which adds new §301.1607 to the Occupations Code Chapter 301.
  • The Texas Board of Nursing (Board) proposes amendments to §217.2, relating to Licensure by Examination for Graduates of Nursing Education Programs Within the United States, its Territories, or Possessions; §217.4, relating to Requirements for Initial Licensure by Examination for Nurses Who Graduate from Nursing Education Programs Outside of United States' Jurisdiction; and §217.5, relating to Temporary License and Endorsement. These amendments are proposed under the Occupations Code §53.101 - 53.105, 301.257, and 301.151 and are necessary to clarify existing language within the sections and to enhance consistency among Board rules related to eligibility determinations. Specifically, the proposed amendments eliminate: (i) minor inconsistencies among the sections; and (ii) redundant requirements that are more appropriately addressed in §213.30 of this title (relating to Declaratory Order of Eligibility for Licensure).

in May 14, 2010 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §223.1 (relating to Fees). The amendment is proposed under the Occupations Code §301.155(a), 301.157(b), and 301.151 and is necessary to increase the required filing fee for the approval of a new nursing education program from $500 to $2,500.

in May 7, 2010 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §221.1 (relating to Definitions) and §221.3 (relating to Education). The amendments are proposed under the Occupations Code §301.152(a) and (b) and §301.151 and are necessary to clarify existing language within the sections and to enhance consistency among Board rules related to advanced nursing practice.

in December 4, 2009 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §213.33, concerning Factors Considered for Imposition of Penalties/Sanctions and/or Fines. The amendments are proposed under the Occupations Code §301.452, 301.4521, 301.453, 301.4531, 301.454(d), 301.455(a) and (b), 301.4551, 301.461, 301.462, 301.467, 301.468(a), 301.501, 301.502, and 301.151 and are necessary to: (i) implement House Bill (HB) 3961, enacted by the 81st Legislature, Regular Session, effective June 19, 2009, which adds new §301.4521 to the Occupations Code Chapter 301; and (ii) adopt the Disciplinary Matrix (Matrix), which is used in the resolution of eligibility and disciplinary matters before the Board, in rule.

in November 27, 2009 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to Chapter 222, §222.1 - 222.12, concerning Advanced Practice Nurses With Prescriptive Authority.

in September 11, 2009 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §213.20, concerning Informal Proceedings and Alternate Dispute Resolution (ADR); §213.29, concerning Criteria and Procedure Regarding Intemperate Use and Lack of Fitness in Eligibility and Disciplinary Matters; §213.30, concerning Declaratory Order of Eligibility for Licensure; and §213.33, concerning Factors Considered for Imposition of Penalties/Sanctions and/or Fines.

in September 4, 2009 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §211.7, concerning Executive Director. The Board is simultaneously proposing amendments and new paragraphs to §213.32, concerning Practice and Procedure. These proposed amendments and new paragraphs are necessary to: (i) implement Senate Bill (SB) 1415, enacted by the 81st Legislature, Regular Session, effective September 1, 2009.
  • The Texas Board of Nursing (Board) proposes amendments and new paragraphs to §213.32, concerning Schedule of Administrative Fine(s). Proposed new §213.32(1) - (4) are necessary to implement Senate Bill (SB) 1415, enacted by the 81st Legislature, Regular Session, effective September 1, 2009.

in August 28, 2009 Texas Register

  • The Texas Board of Nursing (Board) proposes amendments to §213.23, concerning Decision of the Board. These amendments are proposed under the Occupations Code §301.459(a) and §301.151 and the Government Code §2001.004 and §2001.062(a) and (b) and are necessary to implement the Board's amended policy regarding the appearance of individuals before the Board in contested cases.

in May 15, 2009 Texas Register

  • The Texas Board of Nursing (Board) proposes the repeal of Chapter 216, §216.1 - 216.11, concerning Continuing Education. This repeal is necessary because the Board is proposing a new chapter for adoption that promotes a comprehensive approach to continuing competency in nursing.

in November 14, 2008 Texas Register

  • The Texas Board of Nursing (BON) proposes an amendment to 22 TAC §211.6, pertaining to Committees of the Board. The proposed amendment adds language to the foregoing rule reflecting the establishment of the Eligibility and Disciplinary Advisory Committee (EDAC), formerly known as the Eligibility and Disciplinary Committee Task Force.
  • The Texas Board of Nursing (BON) proposes amendments to 22 TAC §217.16 relating to Minor Incidents. The proposed amendments will provide clarification and consistency in the Board's current "minor incident" rule with the board's nursing peer review rules located at 22 TAC §217.19 and §217.20, relating to Incident-Based and Safe Harbor Nursing Peer Review respectively.

Adopted rule changes:

in July 15, 2016 Texas Register

in July 8, 2016 Texas Register

  • The Board adopts amendments to 22 Tex. Admin. Code §217.4, relating to Requirements for Initial Licensure by Examination for Nurses Who Graduate From Nursing Education Programs Outside of United States' Jurisdiction and §211.9, relating to General Considerations. The rule amendments became effective on July 14, 2016. The Texas Register may be viewed at:  http://www.sos.state.tx.us/texreg/pdf/backview/0708/index.shtml 

in April 15, 2016 Texas Register

  • The Board adopts amendments to 22 Tex. Admin. Code §211.6, concerning Committees of the Board; §213.23, concerning Decision of the Board; §213.32, concerning Corrective Action Proceedings and Schedule of Administrative Fines; §214.8, relating to Students; and §215.8, relating to Students. The rule amendments became effective on April 19, 2016. The Texas Register may be viewed at: http://www.sos.state.tx.us/texreg/pdf/backview/0415/0415adop.pdf.


in November 6, 2015 Texas Register

  • The Board adopts amendments to 22 Tex. Admin. Code §223.1 (Fees) without changes to the proposed text published in the November 6, 2015, issue of the Texas Register. The adoption of the amendments will be published in the December 25, 2015, issue of the Texas Register and the rule amendments will become effective on December 27, 2015. The Texas Register may be veiwed at: http://www.sos.state.tx.us/texreg/pdf/backview/1106/1106adop.pdf.
in October 29, 2015 Texas Register
  • The Board adopts new 22 Tex. Admin. Code §§213.27 (Good Professional Character), 213.28 (Licensure of Persons with Criminal History), and 213.29 (Fitness to Practice), and amendments to §213.30 (Declaratory Order of Eligibility for Licen­sure)  and §213.33 (Factors Considered for Imposition of Penalties/Sanctions).  The new and amended sections are adopted without changes to the proposed text published in the August 28, 2015, issue of the Texas Register and may be viewed at: http://www.sos.state.tx.us/texreg/pdf/backview/1023/1023adop.pdf.

in August 17, 2015 Texas Register

in January 23, 2015 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §223.1, concerning Fees, in order to comply with budgetary requirements es­tablished by the Texas Legislature.  The amendments were effective January 11, 2015, and reduce each level of licensure renewal by $10, thereby making the new renewal fee for a vocational nurse license $45; the re­newal fee for a registered nursing license $60; and the renewal fee for an advanced practice registered nursing license $50.  You may view a copy of the adoption at http://www.sos.state.tx.us/texreg/pdf/backview/0123/0123adop.pdf

in September 26, 2014 Texas Register

  • The Board adopts amendments to 22 Tex. Admin. Code §215.5, concerning Philosophy/Mission and Objectives/Outcomes. The amendments are adopted without changes to the proposed text published in the August 8, 2014, issue of the Texas Register (39 TexReg 6007). The adoption may be viewed at: http://www.sos.state.tx.us/texreg/pdf/backview/0926/0926adop.pdf. The amendments are effective September 28, 2014.
  • The Texas Board of Nursing (Board) adopts amendments to §217.1, concerning Definitions. The amend¬ments are adopted without changes to the proposed text published in the August 8, 2014, issue of the Texas Register (39 TexReg 6008). The adoption may be viewed at: http://www.sos.state.tx.us/texreg/pdf/backview/0926/0926adop.pdf. The amendments are effective September 28, 2014.
  • The Texas Board of Nursing (Board) adopts amendments to 22 TAC §223.1, concerning Fees. The amend¬ments are adopted without changes to the proposed text published in the August 8, 2014, issue of the Texas Register (39 TexReg 6010). The adoption may be viewed at: http://www.sos.state.tx.us/texreg/pdf/backview/0926/0926adop.pdf. The amendments are effective September 28, 2014

in August 8, 2014 Texas Register

in July 25, 2014 Texas Register

  • The Board adopts amendments to 22 Tex. Admin. Code §213.32, Pertaining to Corrective Action Proceedings and Schedule of Administrative Fines. The adoption was published in the Texas Register July 25, 2014, and became effective on July 30, 2014. You can access the publication at: http://www.sos.state.tx.us/texreg/pdf/backview/0725/0725adop.pdf.
  • The Board adopts amendments to 22 Tex. Admin. Code §213.34, Pertaining to Deferred Disciplinary Action Pilot Program. The adoption was published in the Texas Register July 25, 2014, and became effective on July 30, 2014. You can access the publication at: http://www.sos.state.tx.us/texreg/pdf/backview/0725/0725adop.pdf
  • The Board adopts new 22 Tex. Admin. Code 213.35, Pertaining to Knowledge, Skills, Training, Assessment and Research (KSTAR) Pilot Program. The adoption was published in the Texas Register July 25, 2014, and became effective on July 30, 2014. You can access the publication at: http://www.sos.state.tx.us/texreg/pdf/backview/0725/0725adop.pdf

in April 18, 2014 Texas Register

  • The Texas Board of Nursing (Board) adopts the repeal of existing Chapter 227, §§227.1 -227.6, concerning Pi­lot Programs for Innovative Applications to Professional Nursing Education, and
    new Chapter 227, §§227.1 -227.4, concerning Pilot Programs for Innovative Applications to Vocational and Professional Nursing Education. The adopted repeal and new chapter were published in the Texas Register on April 18, 2014, and are effective April 22, 2014.

in November 15, 2013 Texas Register

  • The Texas Board of Nursing (Board) adopts the repeal of existing Chapter 222 and new Chapter 222 (relating to Advanced Practice Registered Nurses with Prescriptive Authority) with changes to the proposed text as published in the August 9, 2013, issue of the Texas Register. (Effective November 20, 2013)
  • The Texas Board of Nursing (Board) adopts amendments to Chapter 216 (relating to Continuing Competency), section §216.3, with changes to the proposed text as published in the August 16, 2013, issue of the Texas Register. (Effective November 20, 2013).

in October 4, 2013 Texas Register

in September 27, 2013 Texas Register

in August 10, 2012 Texas Register

in July 13, 2012 Texas Register

in January 13, 2012 Texas Register

in January 6, 2012 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §217.19 (relating to Incident-Based Nursing Peer Review and Whistleblower Protections) and §217.20 (relating to Safe Harbor Peer Review for Nurses and Whistleblower Protections) without changes to the proposed text in the Texas Register (36 TexReg 7749) and will not be republished.
  • The The Texas Board of Nursing (Board) adopts new §217.22, relating to Special Accommodations, without changes to the proposed text in the Texas Register (36 TexReg 7755) and will not be republished.

in October 7, 2011 Texas Register

in August 5, 2011 Texas Register

in July 22, 2011 Texas Register

in April 15, 2011 Texas Register

in April 1, 2011 Texas Register

  • The Board of Nursing (Board) adopts amendments to §217.4 (relating to Requirements for Initial Licensure by Examination for Nurses Who Graduate from Nursing Education Programs Outside of United States' Jurisdiction) without changes to the proposed text published in the February 11, 2011, issue of the Texas Register (36 TexReg 704).

in December 24, 2010 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §214.2 (relating to Definitions), §214.3 (relating to Program Development, Expansion, and Closure), §214.4 (relating to Approval), §214.5 (relating to Philosophy/Mission and Objectives/Outcomes), §214.6 (relating to Administration and Organization), §214.7 (relating to Faculty), §214.8 (relating to Students), and §214.9 (relating to Program of Study) without changes to the proposed text as published in the November 5, 2010, issue of the Texas Register (35 TexReg 9812).
  • The Texas Board of Nursing (Board) adopts amendments to §215.2 (relating to Definitions); §215.3 (relating to Program Development, Expansion, and Closure), §215.4 (relating to Approval), §215.5 (relating to Philosophy/Mission and Objectives/Outcomes), §215.8 (relating to Students), and §215.9 (relating to Program of Study) without changes to the proposed text as published in the November 5, 2010, issue of the Texas Register (35 TexReg 9822)

in October 8, 2010 Texas Register

in October 1, 2010 Texas Register

in July 9, 2010 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §211.6 (relating to Committees of the Board) without changes to the proposed text published in the May 21, 2010, issue of the Texas Register (35 TexReg 3936).
  • The Texas Board of Nursing (Board) adopts amendments to §213.30 (relating to Declaratory Order of Eligibility for Licensure) without changes to the proposed text published in the May 21, 2010, issue of the Texas Register (35 TexReg 3939).
  • The Texas Board of Nursing (Board) adopts new §213.34 (relating to Deferred Disciplinary Action Pilot Program) without changes to the proposed text published in the May 21, 2010, issue of the Texas Register (35 TexReg 3946).
  • The Texas Board of Nursing (Board) adopts amendments to §217.2 (relating to Licensure by Examination for Graduates of Nursing Education Programs Within the United States, its Territories, or Possessions), §217.4 (relating to Requirements for Initial Licensure by Examination for Nurses Who Graduate from Nursing Education Programs Outside of United States' Jurisdiction) and §217.5 (relating to Temporary License and Endorsement) without changes to the proposed text published in the May 21, 2010, issue of the Texas Register (35 TexReg 3953).

in July 2, 2010 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §223.1 (relating to Fees) without changes to the proposed text published in the May 14, 2010, issue of the Texas Register (35 TexReg 3755).

in June 25, 2010 Texas Register

in February 12, 2010 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §213.33, concerning Factors Considered for Imposition of Penalties/Sanctions with changes to subsections (k) and (l) of the proposed text published in the December 4, 2009, issue of the Texas Register (34 TexReg 8628). The rule includes adoption of the Disciplinary Matrix (Matrix), which is used in the resolution of eligibility and disciplinary matters before the Board.

in February 5, 2010 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to Chapter 222, §222.1 - 222.12, concerning Advanced Practice Registered Nurses With Prescriptive Authority.

in November 6, 2009 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §211.7, concerning Executive Director. The amendments are adopted without changes to the proposed text as published in the September 4, 2009, issue of the Texas Register (34 TexReg 6075)
  • The Texas Board of Nursing (Board) adopts amendments to §213.20, concerning Informal Proceedings and Alternate Dispute Resolution (ADR); §213.29, concerning Criteria and Procedure Regarding Intemperate Use and Lack of Fitness in Eligibility and Disciplinary Matters; and §213.30, concerning Declaratory Order of Eligibility for Licensure. The amendments to §213.20 are adopted without changes to the proposed text as published in the September 11, 2009, issue of the Texas Register (34 TexReg 6255). Section 213.29 and §213.30 are adopted with changes. Section 213.33, concerning Factors Considered for Imposition of Penalties/Sanctions and/or Fines, is withdrawn.
  • The Texas Board of Nursing (Board) adopts amendments to §213.23, concerning Decision of the Board. The amendments are adopted with changes to the proposed text published in the August 28, 2009, issue of the Texas Register (34 TexReg 5855) to correct minor typographical errors.
  • The Texas Board of Nursing (Board) adopts amendments and new paragraphs to §213.32, concerning Schedule of Administrative Fine(s). New §213.32(2) is adopted with changes to the proposed text as published in the September 4, 2009, issue of the Texas Register (34 TexReg 6078). New §213.32(1), (3), and (4), and amended §213.32(5), (6), and (7) are adopted without changes to the proposed text.

in September 11, 2009 Texas Register

  • The Texas Board of Nursing (Board) adopts, on an emergency basis, amendments and new paragraphs to §213.32, concerning Schedule of Administrative Fine(s), to take effect on September 1, 2009. The 81st Texas Legislature, Regular Session, enacted Senate Bill (SB) 1415, which adds new Subchapter N to the Occupations Code Chapter 301. SB 1415 authorizes the Board to impose a corrective action, which is a non-disciplinary action consisting of a fine, remedial education, or any combination of a fine or remedial education, on an individual who violates a provision of Chapter 301 or a rule or order adopted under Chapter 301. SB 1415 requires the Board to adopt, by rule, guidelines for the types of violations for which a corrective action may be imposed under new Subchapter N. SB 1415 becomes effective on September 1, 2009. Rule language can also be downloaded from this link: TAC section 213.32.

in August 14, 2009 Texas Register

in May 8, 2009 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §217.2, concerning Licensure by Examination for Graduates of Nursing Education Programs Within the United States, its Territories, or Possessions, and §217.4, concerning Requirements for Initial Licensure by Examination for Nurses Who Graduate from Nursing Education Programs Outside of United States' Jurisdiction.
  • The Texas Board of Nursing (Board) adopts amendments to §223.1, concerning Fees.

in April 10, 2009 Texas Register

in November 14, 2008 Texas Register

  • The Texas Board of Nursing (Board) adopts amendments to §221.4 and §221.6 and the repeal of §221.5, concerning Advanced Practice Nurses, without changes to the proposed text as published in the August 8, 2008, issue of the Texas Register (33 TexReg 6305) and will not be republished. The proposed amendments and repeal are necessary for the purpose of aligning 22 TAC Chapter 221 with Chapter 305 of the Nursing Practice Act (the Advanced Practice Registered Nurse (APRN) Compact) and national standards.