Texas Register, Volume 36, Number 29, Pages 4611-4748, July 22, 2011 Page: 4,665
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Section 301.258(f) provides that a person who holds a temporary
permit issued under 301.258 is considered to be a licensed reg-
istered nurse or vocational nurse for all purposes except to the
extent of any stipulation or limitation on practice imposed by the
Board as a condition of issuing the permit.
Section 301.259 states that, on payment of a fee established by
the Board, the Board may issue a license to practice as a reg-
istered nurse or vocational nurse in this state by endorsement
without examination to an applicant who holds a registration cer-
tificate as a registered nurse or vocational nurse, as applicable,
issued by a territory or possession of the United States or a for-
eign country if the Board determines that the issuing agency of
the territory or possession of the United States or foreign coun-
try required in its examination the same general degree of fitness
required by this state.
Section 301.260(a) states that an applicant for a license under
Chapter 301 who is licensed as a registered nurse or vocational
nurse by another state may qualify for a temporary license by en-
dorsement to practice as a registered nurse or vocational nurse,
as applicable, by submitting to the Board: (i) an endorsement
fee as determined by the Board and a completed sworn appli-
cation in the form prescribed by the Board; (ii) evidence that the
person possessed, at the time of initial licensing as a nurse, the
other qualifications necessary at that time to have been eligible
for licensing in this state; and (iii) proof of initial licensing by ex-
amination and proof that the license and any other license issued
to the applicant by another state have not been suspended, re-
voked, canceled, surrendered, or otherwise restricted.
Section 301.260(b) states that a holder of a temporary license
under 301.260 is entitled to receive a permanent license if the
applicant: (i) verifies the applicant's academic and professional
credentials; and (ii) satisfies any other requirement established
Section 301.260(c) states that the Board shall grant or deny an
application for a permanent license not later than the 180th day
after the date the Board receives all required forms or informa-
tion. Further, the Board may extend that deadline to allow for the
receipt and tabulation of examination results.
Section 301.303(a) provides that the Board may recognize, pre-
pare, or implement continuing competency programs for license
holders under Chapter 301 and may require participation in con-
tinuing competency programs as a condition of renewal of a li-
cense. The programs may allow a license holder to demon-
strate competency through various methods, including comple-
tion of targeted continuing education programs and considera-
tion of a license holder's professional portfolio, including certifi-
cations held by the license holder.
Section 301.303(b) provides that the Board may not require par-
ticipation in more than a total of 20 hours of continuing education
in a two-year licensing period.
Section 301.303(c) provides that, if the Board requires participa-
tion in continuing education programs as a condition of license
renewal, the Board by rule shall establish a system for the ap-
proval of programs and providers of continuing education.
Section 301.303(e) provides that the Board may adopt other
rules as necessary to implement 301.303.
Section 301.303(f) provides that the Board may assess each pro-
gram and provider under 301.303 a fee in an amount that is rea-
sonable and necessary to defray the costs incurred in approving
programs and providers.
Section 301.303(g) provides that the Board by rule may estab-
lish guidelines for targeted continuing education required under
Chapter 301. The rules adopted under 301.303(g) must ad-
dress: (i) the nurses who are required to complete the targeted
continuing education program; (ii) the type of courses that sat-
isfy the targeted continuing education requirement; (iii) the time
in which a nurse is required to complete the targeted continu-
ing education; (iv) the frequency with which a nurse is required
to meet the targeted continuing education requirement; and (v)
any other requirement considered necessary by the Board.
Section 301.151 provides that the Board may adopt and enforce
rules consistent with Chapter 301 and necessary to: (i) perform
its duties and conduct proceedings before the Board; (ii) regulate
the practice of professional nursing and vocational nursing; (iii)
establish standards of professional conduct for license holders
under Chapter 301; and (iv) determine whether an act consti-
tutes the practice of professional nursing or vocational nursing.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's
Filed with the Office of the Secretary of State on July 6, 2011.
Assistant General Counsel
Texas Board of Nursing
Effective date: July 26, 2011
Proposal publication date: June 3, 2011
For further information, please call: (512) 305-6822
CHAPTER 221. ADVANCED PRACTICE
22 TAC 221.6
Introduction. The Texas Board of Nursing (Board) adopts
amendments to 221.6 (relating to Interim Approval) without
changes to the proposed text published in the June 3, 2011,
issue of the Texas Register (36 TexReg 3396) and will not be
Reasoned Justification. The amendments are adopted under the
authority of the Occupations Code 301.151 and 301.152 and
are necessary to eliminate the availability of "interim approval"
for certain individuals.
Section 301.152(b) authorizes the Board to adopt rules to ap-
prove a registered nurse as an advanced practice registered
nurse. In 2001, the Board adopted rules that permitted an appli-
cant to apply for "interim approval" to practice as an advanced
practice registered nurse while awaiting permanent licensure.
The Board amended these rules in 2008 to further clarify the re-
quirements related to "interim approval". Currently, Board Rule
221.6 permits an applicant for advanced practice registered
nurse licensure to practice in an advanced practice role (without
prescriptive authority) while his/her application is being reviewed
by the Board for final approval. This "interim approval" extends to
applicants who are seeking licensure by endorsement from an-
other state and applicants who have already taken and success-
fully passed a national certification examination, but are waiting
for paperwork to be submitted to, or reviewed by, the Board. This
"interim approval" also permits new graduates of advanced prac-
ADOPTED RULES July 22, 2011 36 TexReg 4665
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Texas. Secretary of State. Texas Register, Volume 36, Number 29, Pages 4611-4748, July 22, 2011, periodical, July 22, 2011; Austin, Texas. (texashistory.unt.edu/ark:/67531/metapth176629/m1/52/: accessed September 18, 2018), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting UNT Libraries Government Documents Department.