LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION

May 5, 2017

TO:	Honorable Four Price, Chair, House Committee on Public Health
FROM:	Ursula Parks, Director, Legislative Budget Board
IN RE:	HB1225 by Smithee (Relating to the participation of an advanced practice registered nurse as a primary care provider for certain governmental health benefit plans.), Committee Report 1st House, Substituted

No significant fiscal implication to the State is anticipated.

The bill would allow certain governmental and other health benefit plans to include advanced practice registered nurses (APRNs) as primary care or network providers regardless of whether the physician with whom the APRN has a prescriptive authority agreement is also included in the provider network.

The Texas Medical Board estimates that any cost associated with this change could be absorbed within agency resources. This analysis assumes that utilization costs for the Health and Human Services Commission that are due to the availability of additional primary care providers are assumed to be offset by the lower reimbursement rates for APRNs and avoidance of higher cost services.

Local Government Impact

No fiscal implication to units of local government is anticipated.

Source Agencies:

323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 503 Texas Medical Board, 507 Texas Board of Nursing, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 768 Texas Tech University System Administration, 769 University of North Texas System Administration

LBB Staff:

UP, KCA, JJ, BH, EK, TBo