Regulation that hinders Nps Practice in Texas

In the States of Texas, restrictive practice hinders NPs to practice to the full extent of their education. NPs in Texas do not enjoy, like other states, the freedom to practice independently despite an effort from nursing organizations to advocate for independent practice laws proved abortive. Full practice authority implementation improves access to primary care providers in health professional shortage areas and may increase practice ownership among Nps (DePriest et al., 2020).

Required Qualification for NPs in the State of Texas

Advanced practice nursing programs are piloted at the Master’s level or high. Approved programs include preceptorship. Must consist of an approved program offer preparation for the specific role and population focus. A dual focus program may occur. The student will need 500 clinical hours in each practice area (NPs in Texas). Nationally accredited by recognizing agencies if the program is located within Texas or approved by the Board of Nursing explicitly.

The graduate will require a national certification in his or her role and population focus, consistent with education. There are some instances an individual may require a prerequisite for a certification exam but will not meet Texas’s criteria. The application packet consists of a certifications list that qualifies a nurse for recognition in recognized roles and population foci. Certifications of the Nurse practitioners are either by the American Nurse Credentialing Center or the American Academy of Nurse Practitioners. In contrast, Pediatric nurse practitioner certifications are either the American Nurses Credentialing Center or the Pediatric Nursing Certification Board. Texas approves certification examinations and reassesses them periodically.

Reciprocity is not granted at the APRN level in Texas. Although, some requirements are based on the date of program completion. Application packets consist of an education verification form and provisions necessary information such as accreditation by the school officials.

The fee to apply for licensure is $100 but with prescriptive authority is $150. Licensure renewal is required to retain national certification with the inclusion of continuing education and active 400 practice hours as the current minimum(Nursing, 2021). License renewal is every two years.

APRN CEU requires 20 contact hours every two years in the area of practice. Two contact hours of nursing jurisprudence and ethics for every third renewal. Two contact hours in Geriatrics for Adult Nps. 5 contact hours for pharmacotherapeutic every two years for APRNs with prescriptive authority. One contact hours annually for APRNs who prescribes opioids (NetCE Continuing Education, 2021).



DePriest, K., D’Aoust, R., Samuel, L., Commodore-Mensah, Y., Hanson, G., & Slade, E. P.

(2020). Nurse practitioners’ workforce outcomes under the implementation of full practice authority. Nursing outlook68(4), 459-467.

NetCE Continuing Education (2021). Texas Advanced Practice Registered Nurses CE

Requirement Accreditations and Approval.  Retrieved from


Nursing (2021). Advanced Practice Registered Nurse Licensed Requirement in

Texas. Retrieved from


click here for more


Leave a Reply

Your email address will not be published. Required fields are marked *