---
type: "Bill"
title: "Relating to the authority of an advanced practice registered nurse or physician assistant regarding death certificates."
description: "Relating to the authority of an advanced practice registered nurse or physician assistant regarding death certificates."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "87"
identifier: "HB 4048"
citation: "Texas HB 4048 (87)"
classification: ["bill"]
subjects: ["BIRTH & DEATH CERTIFICATES (S6418)", "Health Care Providers (I0387)", "NURSES & NURSE AIDES (S2704)", "PHYSICIAN ASSISTANTS (S0081)", "PHYSICIANS (S1282)"]
status: "enacted"
primary_sponsors: ["Allison", "Johnson"]
version_count: 5
action_count: 53
vote_count: 0
first_action: "2021-03-11"
last_action: "2021-06-15"
source: "openstates"
source_identifier: "ocd-bill/9685521d-12b7-49a5-810f-59f60a5d0cca"
source_url: "ftp://ftp.legis.state.tx.us/bills/87R/billhistory/house_bills/HB04000_HB04099/HB 4048.xml"
source_hash: "e085658c397d5977093c174705f6f28a1a213902df1b9915be4efed3481745a4"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-tx"]
---

# Texas HB 4048 (87) — Relating to the authority of an advanced practice registered nurse or physician assistant regarding death certificates.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB04048I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB04048E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB04048H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB04048S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB04048F.HTM)

## Sponsors

- Allison — primary (person)
- Johnson — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-03-11** Filed `filing`
- **2021-03-29** Read first time `introduction, reading-1`
- **2021-03-29** Referred to Public Health `referral-committee`
- **2021-04-21** Considered in public hearing
- **2021-04-21** Testimony taken/registration(s) recorded in committee
- **2021-04-21** Left pending in committee
- **2021-04-26** Considered in formal meeting
- **2021-04-26** Recommended to be sent to Local & Consent `referral-committee`
- **2021-04-26** Reported favorably w/o amendment(s) `committee-passage`
- **2021-04-28** Comte report filed with Committee Coordinator
- **2021-04-28** Committee report distributed
- **2021-04-29** Comm. report sent to Local & Consent Calendar
- **2021-05-04** Considered in Local & Consent Calendars
- **2021-05-08** Placed on Local, Consent, and Res. Calendar
- **2021-05-08** Read 2nd time `reading-2`
- **2021-05-08** Passed to engrossment
- **2021-05-08** Nonrecord vote recorded in Journal
- **2021-05-08** Read 3rd time `reading-3`
- **2021-05-08** Passed `passage`
- **2021-05-08** Record vote
- **2021-05-08** Statement(s) of vote recorded in Journal
- **2021-05-08** Nonrecord vote recorded in Journal
- **2021-05-08** Reported engrossed
- **2021-05-10** Received from the House `introduction`
- **2021-05-12** Read first time `introduction, reading-1`
- **2021-05-12** Referred to Health & Human Services `referral-committee`
- **2021-05-19** Scheduled for public hearing on . . .
- **2021-05-19** Considered in public hearing
- **2021-05-19** Testimony taken in committee
- **2021-05-19** Left pending in committee
- **2021-05-20** Considered in public hearing
- **2021-05-20** Reported favorably w/o amendments `committee-passage-favorable`
- **2021-05-20** Recommended for local & uncontested calendar
- **2021-05-20** Committee report printed and distributed
- **2021-05-22** Placed on intent calendar
- **2021-05-24** Not again placed on intent calendar
- **2021-05-26** Placed on local & uncontested calendar
- **2021-05-26** Placed on intent calendar
- **2021-05-27** Laid before the Senate
- **2021-05-27** Read 2nd time & passed to 3rd reading
- **2021-05-27** Vote recorded in Journal
- **2021-05-27** Three day rule suspended
- **2021-05-27** Record vote
- **2021-05-27** Read 3rd time `reading-3`
- **2021-05-27** Passed `passage`
- **2021-05-27** Record vote
- **2021-05-27** Senate passage reported
- **2021-05-28** Reported enrolled
- **2021-05-29** Signed in the House
- **2021-05-31** Signed in the Senate
- **2021-05-31** Sent to the Governor `executive-receipt`
- **2021-06-15** Signed by the Governor `executive-signature`
- **2021-06-15** Effective immediately `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9685521d-12b7-49a5-810f-59f60a5d0cca`. Confidence: reported (aggregated from official Texas legislature records).