
In Texas, the collaborative practice agreement is called a Prescriptive Authority Agreement1. State law defines this agreement’s required contents (including practice settings, categories of drugs that may or may not be prescribed, and consultation/referral plans) and requires annual review, signatures, and availability to the Medical and Nursing Boards upon request1.
Within the agreement, delegations are termed orders or protocols and may reference categories of medications rather than step-by-step directives2. Physicians must also register prescriptive delegations and the Prescriptive Authority Agreement with the Texas Medical Board within 30 days of execution, including practice locations and supervisee information34.