Coalition for Nurses in Advanced Practice


CNAP Specializes in Legislation & Regulation

Coalition of Nurses in Advanced Practice serves to be an advocate for all advance practice registered nurses and actively monitors legislative and regulatory issues within Texas. CNAP also monitors the work of Interim legislative committees and arranges testimony on APRN issues whenever appropriate.

The learn the legislative process for a bill click here.
For a diagram of the legislative process click here.


Senate Bill 406 – Prescriptive Authority Agreement Legislation became effective November 1, 2013

Background. On November 1, 2013, Senate Bill 406 that passed earlier this year during the regular session of the Texas Legislature becomes effective. With the exception of hospital-based practices, the current site-based restrictions on prescriptive authority for advanced practice registered nurses (APRNs) and physician assistants (PAs) expire and are to be replaced by a jointly developed Prescriptive Authority Agreement (PAA).

Are you and your delegating physician ready for these changes? Read on.



National Provider Identification Expansion for Vendor Drug Program - October 4, 2013


CNAP strongly encourages APRNs to get their own NPI numbers to allow for better tracking and follow-up.


National Provider Identification Expansion for Vendor Drug Program October 4, 2013Effective October 15, 2013, pharmacies enrolled in the Medicaid/CHIP Vendor Drug Program (VDP) will be required to submit claims for clients enrolled in Medicaid fee-for-service, Children with Special Health Care Needs Services Program, and the Kidney Health Care Program using the individual national provider identification number (NPI) of the prescribing provider or the supervising prescriber where applicable. Texas medical license numbers will no longer be accepted.For prescriptions written by physician assistants (PA), advance practice registered nurses (APRN), or prescribing pharmacists (PH), that do not have a NPI, the supervising prescriber’s NPI will be accepted. These providers have the prescribing authority as allowed by their respective state boards. If your claim rejects with any of the following NCPDP codes:· 

9V – Prescriber ID Qualifier Submitted Not Covered·        
71 – Prescriber ID is Not Covered·        
56 – Non-Matched Prescriber ID

Verify the correct prescriber NPI is submitted in "Prescriber ID" (Field 411-DB) and "Ø1” in "Prescriber ID Qualifier" (Field 466-EZ).  Other prescriber identifiers or qualifier values will no longer be supported and will cause the claim to reject.It is essential that the correct prescriber identification be submitted on all prescription claims. Providing accurate information allows VDP to follow‐up with prescribers about their prescribing practices, when needed. Inaccurate information runs the risk of an audit exception and causes erroneous data on reports.

Comparison of Texas Prescriptive Authority Law for APRNs before and after November 1, 2013

Lynda Woolbert, MSN, RN, CPNP-PC, FAANP

SB 406 is the new prescriptive authority law governing delegation of prescriptive authority to Advanced Practice Registered Nurses (APRNs) and Physician Assistants in Texas. The law goes into effect on November 1, 2013. Before November 1, 2013, physicians who delegate prescriptive authority and APRNs who have delegated prescriptive authority must practice under the current site-based restrictions.


For a complete comparison and more details click here.

Click here to get the order form for a "Sample” Prescriptive Authority Agreement


 CNAP fundraising opportunity ongoing!

 If you did not attend the CNAP fundraiser, you can still donate to CNAP by clicking on the link
It’s easy to donate using the above link, and CNAP needs your help to continue working on behalf of all APRNs in Texas.  Thank you in advance for your contribution!


Potential Scam Alert


The Office of Inspector General has become aware of a potential scam involving phone callers impersonating Texas Health and Human Services employees and asking for personal information. If you receive a call from someone claiming to be an HHSC employee, do not provide any information such as Medicaid or Social Security numbers. HHSC does not ask for such client information over the phone, and will only call clients for a scheduled interview after the submission of an application for benefits. To verify an HHSC appointment, call 2-1-1, pick a language, then select option 2. Staff can help you Monday to Friday, 8 a.m. to 6 p.m.
If you suspect you are the target of attempted fraud, you can call OIG at 1-800-436-6184, or your local law enforcement agency.




Community Search

Do you have Practice Questions?


If you have a practice question regarding rules and regulations, CNAP is here to assist you with these complex issues.

Click here to complete the submission form.


CNAP Meeting Dates

June 27
July 26 - CNAP Retreat - CNAP Board & Organization Leaders
August 22
October 17
November 14
December 12 


CNAP'S Sample Facility Based Protocol is now available

CNAP’s Sample Facility-Based Protocols for delegation of prescriptive authority and other medical acts to advanced practice registered nurses in Texas hospital and long-term care facility-based practices.

SB 406 permits certain physicians in facility-based practices to continue using Protocols or other orders or written authorizations for delegating the ordering or prescribing of drugs and medical devices to facility-based APRNs and PAs. This document provides the purchaser with basic information and a format to adapt for use in the purchaser’s facility-based practice.  To purchase a copy click here.


Coalition for Nurses in Advanced Practice

P O Box 86  * Cedar Park, TX  * 512.663.6629