Honorable Senfronia Thompson, Chair, House Committee on Public Health
FROM:
John McGeady, Assistant Director Sarah Keyton, Assistant Director Legislative Budget Board
IN RE:
HB912 by Howard (Relating to an expedited licensing process for certain advanced practice registered nurses; authorizing a fee.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for HB912, Committee Report 1st House, Substituted: an impact of $0 through the biennium ending August 31, 2021.
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2020
$0
2021
$0
2022
$0
2023
$0
2024
$0
Fiscal Year
Probable (Cost) from General Revenue Fund 1
Probable Revenue Gain from General Revenue Fund 1
Change in Number of State Employees from FY 2019
2020
($155,859)
$155,859
2.0
2021
($155,859)
$155,859
2.0
2022
($155,859)
$155,859
2.0
2023
($155,859)
$155,859
2.0
2024
($155,859)
$155,859
2.0
Fiscal Analysis
The bill would amend the Occupations Code relating to an expedited licensing process for certain advanced practice registered nurses.
The bill would take effect on September 1, 2019.
Methodology
According to the Board of Nursing (BON), the agency currently receives about half of its applications for Advanced Practice Registered Nurses (APRNs) from out-of-state applicants, approximately 2,000 per fiscal year. The process includes a review and verification of education, practice and credentials and can average up to eight hours per application to receive, collect required documents, create a file, review for compliance with education, practice and credential compliance, clarify discrepancies and issue a license. The current time frame for days to issue an APRN license is within 15 calendar days (approximately 11 business days). Based on information provided by the BON, implementing the provisions of the bill would require an additional 2.0 FTE at a cost of $155,859 in each fiscal year, including salaries, wages, and benefits. This analysis assumes that any increased cost to BON, which is statutorily required to generate sufficient revenue to cover its costs of operation, would be offset by an increase in fee generated revenue.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies:
304 Comptroller of Public Accounts, 507 Texas Board of Nursing