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Jenifer’s Law Is Now in Effect: What Texas Clinics Must Know About HB 3749

As of September 1, 2025, House Bill 3749, widely known as “Jenifer’s Law,” is officially in effect across Texas. Signed into law on June 20, 2025, this legislation introduces clear regulations for elective IV therapy providers.

This law is focused entirely on the IV therapy space, where rapid growth has outpaced regulation.

Close-up of an IV therapy drip bag hanging in a clinic setting, representing new safety and compliance requirements under Jenifer’s Law (HB 3749) for Texas wellness and medspa providers.

Why Was Jenifer’s Law Created?

The bill was introduced following a tragic death linked to improperly supervised IV therapy. IV drips involve directly infusing substances into the bloodstream, which can create serious risks if not managed under proper medical oversight.

By requiring prescriber orders, qualified administrators, and formal delegation agreements, Texas is setting a new minimum standard for patient safety in this sector.

As KCEN-TV reported, the law was designed to prevent “IV bars” from operating without the same clinical accountability expected in other medical services.

What Jenifer’s Law Requires

According to Lengea and  Optimantra, the law establishes five key requirements:

  1. Orders Issued by Providers
    • All IV therapy must be ordered by a licensed physician, NP, or PA.
  2. Qualified Administrators
    • IV therapy may only be administered by an RN, NP, or PA.
    • Medical assistants and unlicensed staff are not permitted to perform these services.
  3. Written Delegation & Supervision Agreements
    • Supervising physicians must draft agreements covering:
      • Practice locations
      • Medications included
      • Emergency procedures
      • Annual reviews and updates
  4. Texas Medical Board Registration
    • These agreements must be registered with the Texas Medical Board.
  5. Penalties for Noncompliance
    • Violations can result in disciplinary action, civil liability, insurance denials, or criminal penalties.

Educational Takeaways for Clinics

1. Compliance Is Now Non-Negotiable

If you’re offering IV therapy, you must immediately review your protocols. For example:

  • If you’ve been using standing orders (“all patients receive XYZ drip”), these must stop.

     

2. Staff Credentials Matter

  • An RN, NP, or PA must handle administration.
  • Clinics cannot delegate IV therapy to MAs or non-licensed support staff.

     

3. Delegation Agreements Are Legal Protection

These documents do more than check a regulatory box. They:

  • Define the scope of care.
  • Establish emergency protocols.
  • Protect your clinic and supervising physician in case of an audit or malpractice claim.

     

4. Registration Shows Accountability

By filing agreements with the Texas Medical Board, practices are entering a transparent compliance system. This improves trust with patients and insurers.

5. Patient Safety Comes First

Elective IV therapy can carry risks such as infection, fluid overload, or electrolyte imbalance. Jenifer’s Law reinforces the need for proper evaluation, supervision, and emergency planning.

Bottom Line

Jenifer’s Law is now active and enforceable in Texas. While it only applies to elective IV therapy, the law reflects a broader trend: regulators are paying closer attention to med spas and wellness clinics.

By aligning your clinic with these requirements, you not only avoid penalties but also strengthen your credibility as a safe, compliant, and patient-focused provider.

At Qualiphy, we help clinics integrate compliance into their workflows so they can focus on growth, not red tape.

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