SB 911, also known as the "Healthcare Expanded and Accessed Locally for Texans (HEAL Texans) Act," proposes to enhance the licensing and regulation of advanced practice registered nurses (APRNs) in Texas. The bill amends the Occupations Code to redefine the scope of practice for APRNs, including nurse practitioners, nurse midwives, nurse anesthetists, and clinical nurse specialists. It provides APRNs with the authority to practice independently under certain conditions, such as completing a minimum number of clinical practice hours and obtaining specific educational qualifications. The bill introduces provisions for prescriptive authority, allowing APRNs to prescribe medications and devices, including controlled substances, within the scope of their practice. Additionally, it outlines the process for obtaining independent practice authorization, establishing a fee structure for licensing, and setting continuing education requirements. The legislation also includes conforming amendments to various state codes to align with the expanded role of APRNs, affecting areas such as healthcare facilities, education institutions, and state agencies. The bill mandates the Texas Board of Nursing to adopt rules to implement the changes by February 1, 2026.