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Senate advances rural medical access package, creates RAMP program and limits APRN delegation fees in small counties
Summary
Senators passed committee substitute Senate Bill 2695 to remove delegation fees for APRNs in small counties, create a Rural Admissions Medical Program (RAMP) and shift oversight of a rural-delegation pilot to Texas A&M Medical School with chart-review and data collection requirements.
The Texas Senate voted to pass committee substitute Senate Bill 2695, a multi-part package aimed at improving access to primary care and behavioral health in rural counties. The bill removes APRN delegation fees in qualifying rural counties, establishes an education-to-practice pipeline (RAMP) to recruit rural students into medicine, and places oversight for the rural delegation pilot with Texas A&M Medical School.
Sponsor Senator Lois Kolkhorst described the bill as a balance between physician-led teams and expanded primary-care capacity. She said APRNs reported paying…
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