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Evolution of APN Practice and Legislative Changes in Texas: A CNAP Timeline

This timeline outlines significant developments in Texas regarding Advanced Practice Nurses (APNs) and their evolving roles in the healthcare system. Key milestones include the transition from Texas RN PAC to Texas RN/APN PAC, expanded prescription authority, and the establishment of Medicaid reimbursement for APNs. The formation of the CNAP strategic planning retreat and efforts to include APNs as primary care providers highlight a push for enhanced recognition and support within the healthcare framework. Legislative advancements aim to improve practice environments and reimbursement rates for APNs.

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Evolution of APN Practice and Legislative Changes in Texas: A CNAP Timeline

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  1. CNAP Timeline Texas RN PAC becomes Texas RN/APN PAC CNAP Organized • APNs are practitioners in Insurance Code • Office-based anesthesia Expanded Rx Authority Campaign to increase Rx Authority Mediation w/ TNA Ad Hoc Committee forms • APNs on MC panels • Rx in School-based clinics Increase Medicaid rate to 85% for all APNs First CNAP Strategic Planning Retreat Formed PCA • Controlled Substances • Standard Credentialing • Moratorium Begins • Medicaid Reimbursement Rider • Medicaid MC must include APNs as PCPs • TANA defeats supervision Medicaid rate increase to 92% Moratorium Ends • TMB Waiver • Alternative practice site added TANA hires lobbyists CNAP 15 years

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