Texas

What is a collaborative practice agreement called in Texas?

Chris Turitzin
Updated
December 9, 2025

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.

Citations

  1. Tex. Occ. Code §157.0512, Prescriptive Authority Agreement
  2. Tex. Occ. Code §157.055, Orders and Protocols
  3. Tex. Occ. Code §157.0511, Delegation of Prescribing and Ordering Drugs and Devices
  4. TMB Rule §193.10, Registration of Delegation and Prescriptive Authority Agreements
Chris, founded Single Aim Health in 2024 to provide clinicians, especially NPs and PAs, with essential services for launching and growing their practices. A Stanford graduate in Product Design, Chris co-founded Momentus Media, which was acquired by Facebook, and worked as a Product Manager there. He later gained expertise in digital health through leadership roles at Bicycle Health, Virta Health, and founding Wink Health. Now, he is using his experience to help clinicians through Single Aim Health.
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