Relating to the practice of nursing, including disciplinary procedures of the Texas Board of Nursing; authorizing a fee.

HB 4355 amends Texas nursing law to clarify exemptions from licensure requirements and strengthen oversight. It specifies that nursing care provided during disasters, by students, or via prayer/spiritual means generally doesn’t require a license, while adding that nurses working under governor’s emergency declarations remain subject to the Texas Board of Nursing’s disciplinary authority. The bill also creates a new process for expunging disciplinary records from nursing licenses and revises disclosure rules for peer assistance program participation and disciplinary proceedings. These changes directly affect licensed nurses, nursing education programs, and the Texas Board of Nursing in enforcing practice standards.