| (a) A registered nurse who submits a request for waiver
from requirements of this rule must submit documentation as required
by the Board to support his or her petition and assure the Board that
he or she possesses the knowledge, skills, and abilities appropriate
for the role and population focus area of licensure desired. Those
petitioners who are under investigation or current Board order are
not eligible for waiver.
(b) Petitions for waiver from the program accreditation
requirements set forth in this chapter may be granted by the Board
for individuals who completed their APRN programs before January 1,
1996. Petitioners must meet the length of academic program requirements
set forth in this chapter and provide evidence of current national
certification in the APRN role and population focus area.
(c) Petitions for waiver from the current certification
requirements of this chapter may be granted by the Board as follows;
(1) Applicants who completed their APRN education programs
prior to January 1, 1996 may be granted an exemption from the national
certification requirement, provided the program was accredited by
a national nursing education accrediting body that is recognized by
the Board and the U.S. Secretary of Education and/or the Council for
Higher Education Accreditation (CHEA), or its successor organization,
as acceptable to the Board at the time the applicant completed the
program.
(2) Under this section, only those petitioners who
completed their APRN education program on or after January 1, 1996
for whom no national certification examination within the advanced
role and population focus area or a related advanced specialty exists
will be considered for waiver by the Board. The Board reserved the
right to determine an appropriate alternate national certification
examination for licensure in those specialty areas for which no specific
examination existed for the specialty area.
(3) A written request for waiver of the national certification
requirement must be submitted.
(d) Waivers from the master's degree requirement may
be granted to qualified certificate-prepared nurse-midwives and women's
health care nurse practitioners who complete their APRN programs on
or before December 31, 2006. Applicants must meet all other APRN education
requirements as stated in this chapter.
(1) Petitioners approved on the basis of this waiver
shall be limited to providing APRN care within the geographical boundaries
of the State of Texas. This shall not prevent the individual from
utilizing Nurse Licensure Compact privileges to practice as a registered
nurse.
(2) The applicant must submit all required documentation
necessary to demonstrate that the requirements (except for the master's
degree) for licensure have been met.
(3) The applicant must submit a written request for
waiver of the master's degree requirement.
(e) Exemptions granting authorization to utilize licensure
titles not otherwise authorized by this chapter may be granted to
qualified petitioners who completed their APRN education programs
prior to the date specified. Petitioners must meet all other education
and national certification requirements as stated in this chapter,
(1) The following specialty titles may be considered
for exemption for individuals who completed their APRN education program
prior to January 1, 2010, but are not qualified to utilize a title
authorized by this chapter:
(A) Acute Care Clinical Nurse Specialist,
(B) Critical Care Nurse Practitioner;
(C) Cardiovascular Clinical Nurse Specialist;
(D) Emergency Nurse Practitioner or Clinical Nurse
Specialist;
(E) Family Clinical Nurse Specialist;
(F) Home Health Clinical Nurse Specialist;
(G) Maternal (Parent)-Child Health Clinical Nurse Specialist
(with or without subspecialization);
(H) Oncology Nurse Practitioner or Clinical Nurse Specialist;
(I) Pediatric Critical Care Nurse Practitioner;
(J) Perinatal Nurse Practitioner or Clinical Nurse
Specialist;
(K) School Nurse Practitioner; and
(L) Women's Health Clinical Nurse Specialist.
(2) The following titles may be considered for exemption
if the individual is not qualified to utilize a licensure title authorized
by this chapter for qualified applicants who completed their APRN
education programs prior to January 1, 2015:
(A) Acute Care Adult Nurse Practitioner;
(B) Adult Health Clinical Nurse Specialist;
(C) Adult Nurse Practitioner;
(D) Community Health Clinical Nurse Specialist;
(E) Critical Care Clinical Nurse Specialist;
(F) Gerontological Clinical Nurse Specialist; and
(G) Gerontological Nurse Practitioner.
(3) Those individuals licensed on the basis of this
exemption shall be limited to providing advanced practice nursing
care within the geographical boundaries of the State of Texas. This
shall not prevent the individual from utilizing Nurse Licensure Compact
privileges to function as a registered nurse.
(4) The applicant must submit all required documentation
necessary to demonstrate that all requirements for licensure have
been met.
(5) The applicant must submit a written request for
exemption and indicate the desired title.
(6) APRNs licensed on the basis of this exemption shall
use the APRN title specified on the licensure document provided by
the Board.
(f) Exemptions from specific curricular requirements
may be granted to otherwise qualified applicants based on the education
requirements set forth in Board rules that were in effect at the time
the applicants completed their APRN education programs.
(g) Applicants who are endorsing APRN licensure in
Texas and have practiced in the APRN role and population focus in
another state for a minimum of 24 months following completion of the
APRN education program who are required to take a single academic
course in order to meet the education requirements for Texas licensure
may be issued a six-month temporary permit as specified in §221.10
of this chapter to practice in a limited capacity while completing
the academic course.
(1) Only those applicants who need to complete a dedicated,
graduate-level course in advanced health assessment, advanced physiology
and pathophysiology, or advanced pharmacotherapeutics may be considered
for a permit. If more than one course is required, the applicant shall
not be eligible for the permit.
(2) Prescriptive authority shall not be granted to
applicants who are granted limited authority to practice under this
provision.
(3) Applicants who practice under this provision shall
practice under the supervision of a qualified preceptor who meets
the requirements of §221.10 of this chapter.
(4) The applicant must demonstrate that all other education
and licensure requirements set forth in this chapter have been met
before the six month temporary permit may be issued.
(5) Six month temporary permits issued for this purpose
may be issued one time only. Six month temporary permits issued for
the purpose of completion of an academic course cannot be extended
or renewed.
(6) The APRN candidate shall submit:
(A) an application for a six-month temporary permit
as specified in §221.10 of this chapter to be used for completion
of the requirements specified in this chapter; and
(B) evidence of a current, valid license or privilege
to practice as a registered nurse in the state of Texas.
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| Source Note: The provisions of this §221.7 adopted to be effective February 25, 2001, 26 TexReg 1509; amended to be effective May 15, 2005, 30 TexReg 2668; amended to be effective February 27, 2019, 44 TexReg 833 |
