Texas Occupations Code - OCC § 206.253. Certain Prohibited Practices

(a) This chapter does not authorize a person who holds a license issued under this chapter to engage in the practice of:

(b) A health maintenance organization, preferred provider organization, or health benefit plan may not require a registered nurse or physician assistant to be licensed as a surgical assistant as a condition for reimbursement.

(c) A clinic, hospital, ambulatory surgical center, or other facility may not require a registered nurse or physician assistant to be licensed as a surgical assistant as a condition for assisting at surgery at the facility.