LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION
 
April 28, 2025

TO:
Honorable Lacey Hull, Chair, House Committee on Human Services
 
FROM:
Jerry McGinty, Director, Legislative Budget Board
 
IN RE:
HB4371 by Harris Davila (Relating to the provision of services by certain persons in the private duty nursing program.), As Introduced

The fiscal implications of the bill cannot be determined. According to the Health and Human Services Commission (HHSC), the agency would not be able to implement the provisions of the bill because federal law requires private duty nursing services to be provided by only a registered nurse or a licensed practical nurse.

The bill would allow certain Medicaid recipients to receive private duty nursing services from a certified complex care aide, require the Health and Human Services Commission (HHSC) to provide reimbursement for such services, and establish requirements related to the provision of such services.

The bill would take effect September 1, 2025.

According to HHSC, the agency would not be able to implement the provisions of the bill because federal law requires private duty nursing services to be provided by only a registered nurse or a licensed practical nurse. Therefore, the fiscal implications of the bill cannot be determined.

Local Government Impact

No significant fiscal implication to units of local government is anticipated.


Source Agencies:
529 Health and Human Services Commission
LBB Staff:
JMc, NPe, ER, ESch