Tex. Codes » Occupations Code · TITLE 3. HEALTH PROFESSIONS · SUBTITLE B. PHYSICIANS · CHAPTER 157. AUTHORITY OF PHYSICIAN TO DELEGATE CERTAIN MEDICAL ACTS
Texas Codes

Tex. Occ. Code § 157.055 (2026)

Orders And Protocols

✓ current as of May 2026
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Sec. 157.055. ORDERS AND PROTOCOLS. A protocol or other order shall be defined in a manner that promotes the exercise of professional judgment by the advanced practice registered nurse and physician assistant commensurate with the education and experience of that person. Under this section, an order or protocol used by a reasonable and prudent physician exercising sound medical judgment:

(1) is not required to describe the exact steps that an advanced practice registered nurse or a physician assistant must take with respect to each specific condition, disease, or symptom; and

(2) may state the types or categories of medications that may be prescribed or the types or categories of medications that may not be prescribed.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by:

Acts 2013, 83rd Leg., R.S., Ch. 418 (S.B. 406), Sec. 6, eff. November 1, 2013.

Notes of Decisions
Cited in 2 cases, 2007–2019 · leading case: Simonson v. Keppard, 225 S.W.3d 868 (Tex. App. 2007).
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Simonson v. Keppard, 225 S.W.3d 868 (Tex. App. 2007). · cites it 2× “1(12); TEX. OCC.CODE § 157.055. Thus, they can have no bearing on whatever *891 standard of care ultimately governs.”
El Paso Healthcare Sys., Ltd. D/B/A Las Palmas Med. Ctr. v. Santiago Monsivais, by & Through His Next Friends Cinthia Monsivais & Samuel Monsivais & Cinthia Monsivais & Samuel Monsivais, Individually (Tex. App. 2019). “TEX.OCC. CODE ANN. § 157.001 (“A physician may delegate to a qualified and properly trained person acting under the physician’s supervision any medical act that a reasonable and prudent physician would find within the scope of sound medical judgment to delegate if, in the…”
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