Nurse Practitioner Collaborative Agreements in Texas
Table of Contents
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Meeting Requirements
Board submissions
Distance Restrictions
A Texas collaborative agreement, also known as a Prescriptive Authority Agreement (PAA), outlines how an NP and physician will work together in everyday practice. It identifies both parties, the practice setting, the categories of medications the NP may prescribe, and how communication and consultation will occur when clinical questions arise1. It also includes basics like how often you’ll meet, how chart review is handled, and whether an alternate physician can step in if needed1. Texas keeps the structure flexible—the agreement doesn’t require step-by-step protocols, just clear prescribing categories and a simple plan for collaboration1.
Citations
1. Tex. Occ. Code §§157.0512, 157.055.
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Texas Templates
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Texas Agreement Contents
Submitting the Agreement to the State
The supervising physician is responsible for registering the APRN in the TMB’s Online Supervision and Prescriptive Delegation Registration System. No paper submissions are accepted.
Supervision/delegation approval or termination changes should be updated in the TMB system within 30 days.
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Understanding the specific requirements and regulations for collaborative practice agreements in Texas is crucial for both Nurse Practitioners and physicians. Below are the most frequently asked questions about Texas collaborative agreements, organized by topic to help you navigate the requirements, physician responsibilities, and NP scope of practice.
Collaboration & Supervision Requirements
Prescriptive Authority (Medications & Controlled Substances)
Scope of Practice
⚠️ Special Note: Schedule II Prescribing In Texas, prescribing Schedule II medications triggers a requirement for direct physician involvement. This increased level of engagement and liability significantly impacts market rates, typically raising the monthly compensation above $1,000/month.
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About the Author
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