Relating to an education program to enable certain students to practice medicine in certain rural counties and to physician delegation of certain medical acts to advanced practice registered nurses, including in certain rural counties.

Removed provisions allowing advanced practice registered nurses to practice medicine in certain rural counties and physician delegation of medical acts to them.

Added a new Rural Admission Medical Program (RAMP) to encourage students from rural counties (population under 25,000) to pursue medical education through scholarships, stipends, and guaranteed admission to participating medical schools.

Added specific eligibility criteria for RAMP participants, including residency requirements, minimum grade point averages, and county population size.

Added requirements for participating medical schools to set aside at least 10% of enrollment capacity for RAMP students and to provide internship and mentoring programs.

Added a new Rural Advanced Practice Registered Nurse Delegation and Supervision Program requiring the Texas A&M University System Health Science Center College of Medicine to establish and administer a program for rural counties with populations of 30,000 or less.

Modified prescriptive authority agreement requirements to include specific chart review percentages and quality assurance plans for nurse delegation.

Set the effective date of the Act to September 1, 2025, with rules to be adopted by February 1, 2026.

Added new definitions for 'Participating student', 'Program', and 'Nontraditional students' within the RAMP context.

Added provisions for terminating student participation in RAMP if they fail to meet requirements without good cause, and for reporting program problems and expenditures to state officials.

Added provisions allowing the council to accept gifts, grants, or devises and permitting legislative appropriations for the RAMP program.