2025 · Regular session · House bill
HB3749
HB3749, called Jenifer’s Law, sets specific limits on whom a physician may authorize to prescribe, order or administer elective intravenous therapy.
Official caption: Relating to the regulation of the provision of elective intravenous therapy.
Official report lists House author(s): Orr, Oliverson, Lalani, Howard, VanDeaver. This does not identify sponsors or amendment drafters.
Bill explanation published · Version and amendment review scope is stated below · Individual amendment records may not be separately annotated.
Bill highlights
Selected points from the published explanation. Follow each point to its source-linked context; conditions and limits may matter.
- HB3749, called Jenifer’s Law, sets specific limits on whom a physician may authorize to prescribe, order or administer elective intravenous therapy.
- Here, elective IV therapy means putting fluids, nutrients, medications or blood directly into a patient’s vein at the patient’s request to relieve temporary discomfort or improve temporary wellness.
- A physician may delegate prescribing or ordering this therapy to a physician assistant or an advanced practice registered nurse, each acting under adequate physician supervision.
- Prescribing and ordering remain subject to Occupations Code Chapter 157, Subchapter B.
- Existing prescriptive-agreement safeguards include a written agreement, plans for consultation, referrals and emergencies, chart review, documented meetings at least monthly, and annual agreement review.
What does it do?
HB3749, called Jenifer’s Law, sets specific limits on whom a physician may authorize to prescribe, order or administer elective intravenous therapy. The new rules apply to covered medical acts performed from September 1, 2025 onward, even when the physician’s delegation was made earlier. Final law.
Here, elective IV therapy means putting fluids, nutrients, medications or blood directly into a patient’s vein at the patient’s request to relieve temporary discomfort or improve temporary wellness. The definition excludes treatment administered in a physician’s office, a health facility licensed under Health and Safety Code Title 4, Subtitle B, a licensed mental hospital, or a state-maintained or state-operated hospital. It is not a new rule for every IV given anywhere.
A physician may delegate prescribing or ordering this therapy to a physician assistant or an advanced practice registered nurse, each acting under adequate physician supervision. The physician may delegate administering it to those professionals or to a registered nurse under adequate physician supervision. Being an ordinary registered nurse is therefore not enough to receive prescribing authority under this provision; administering an ordered treatment is a different act.
Prescribing and ordering remain subject to Occupations Code Chapter 157, Subchapter B. Elective-IV prescriptive authority agreements count toward the physician’s limit of seven advanced practice registered nurses and physician assistants combined, or seven full-time equivalents. The usual exceptions in Section 157.0512(d) for medically underserved practices and hospital facility-based practices do not apply to these elective-IV agreements. This is a prescribing-delegation limit, not a limit of seven patients or seven IV treatments.
Existing prescriptive-agreement safeguards include a written agreement, plans for consultation, referrals and emergencies, chart review, documented meetings at least monthly, and annual agreement review. An advanced practice registered nurse is a nurse with the additional education and board licensure described in Section 301.152; the bill does not turn every registered nurse into an advanced-practice prescriber.
What changed along the way?
The introduced bill proposed much broader medical-spa regulation: medical directors, physician training and availability, protocols and patient assessments, provider identification, adverse-event reporting, and on-site physician or basic-life-support staffing. Those cosmetic-procedure provisions were removed in the House committee substitute; they are not requirements created by the final HB3749.
The House substitute added the name Jenifer’s Law, retained and renumbered the elective-IV chapter, replaced the introduced reference to a registered nurse receiving prescribing authority with an advanced practice registered nurse, and added the separate list of professionals allowed to administer therapy. It retained the facility exclusions, physician supervision, prescriptive-agreement limit and September 1 effective date. The transition provision was shortened but still covers medical acts after that date regardless of when or how delegation occurred.
The engrossed, Senate report and final operative provisions match the House substitute. The text-version index lists those versions; the amendment index reports no amendments. A committee substitute is not a floor amendment.
The House passed the bill 117–2, with two present but not voting; the Senate passed it 31–0. The governor signed it June 20, 2025. Official history.
For the full amendment record, open the official amendment index.
Official bill versions
Compare the published text versions in the official text index. A change is not attributed to a specific amendment here without a verified record.
Who could benefit—and who could bear the costs?
Patients using covered elective-IV services gain explicit professional-qualification and supervision requirements. Physicians and businesses offering those services may need to change staffing or delegation arrangements, particularly when someone other than a physician assistant, advanced practice registered nurse or registered nurse has administered treatments. The law does not establish that a particular wellness infusion is medically beneficial or risk-free.
The May 20 fiscal note anticipates no significant state or local fiscal impact and assumes state costs can be absorbed within existing resources. The earlier introduced and House-substitute notes reach the same fiscal conclusion. These estimates are not a promise that a private clinic’s compliance costs or a patient’s price will stay unchanged; the notes do not quantify those private costs.
Review boundary: This explains the enacted statutory delegation rules, not an individual clinic’s compliance or a medical recommendation. The removed cosmetic-procedure rules are described only as proposals. Other licensing and professional-practice requirements still matter; this law does not give an unsupervised right to prescribe.
Official sources
- Bill history and latest recorded action
- Bill versions, analyses and fiscal notes
- Action history and votes
- Amendment index
Catalog report retrieved 2026-10-25. Check the official record for corrections or later changes.
