Honorable Four Price, Chair, House Committee on Public Health
FROM:
Ursula Parks, Director, Legislative Budget Board
IN RE:
HB1415 by Klick (Relating to the licensing and authority of advanced practice registered nurses.), As Introduced
No significant fiscal implication to the State is anticipated.
The bill would amend the Occupations Code and Health and Safety Code relating to the licensing and authority of advanced practice registered nurses (APRNs). The bill would amend the scope of advanced practice registered nursing and would allow APRNs to practice as licensed independent practitioners.
According to the Health and Human Services Commission (HHSC), there would be one-time and ongoing technology costs for systems modifications to implement the provisions of the bill. It is assumed those costs can be absorbed within HHSC's existing resources. There could be additional costs associated with services provided by APRNs but it is assumed any increased costs would be offset by the lower reimbursement for APRNs and avoidance of higher cost services. Certain provisions of the bill may conflict with federal Medicaid law and it is assumed those provisions would not be implemented in order to avoid a loss of federal funding that could result from violating federal Medicaid law.
The Texas Board of Nursing, the Texas Department of Criminal Justice, the Texas Medical Board, the Employees Retirement System, the Texas A&M University System Administrative and General Offices, the Department of Insurance, the Teacher Retirement System, the University of Texas System Administration, and Board of Pharmacy anticipate any additional work resulting from the passage of the bill could be reasonably absorbed within current resources.
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, 515 Board of Pharmacy, 529 Health and Human Services Commission, 696 Department of Criminal Justice, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration