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Bill

HB 3794

Relating to the licensing and regulation of advanced practice registered nurses and the payment of independent advanced practice registered nurses in certain government employee health plans.

89th Legislature (2025) Introduced by Drew Darby and 7 co-sponsors

Expands APRN licensing autonomy in Texas and mandates state employee health plans reimburse independent APRNs at physician-equivalent rates for identical services.

Left pending in committee
#insurance--health&accident(i0422) #medicine&prescriptiondrugs(s7338) #nurses&nurseaides(s2704) #nursing #texasboardof(v0776) #occupationalregulation--healthoccupations(i0540)
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Bill Summary · HB 3794

Legislative bill overview

HB 3794 would modify Texas regulations governing Advanced Practice Registered Nurses (APRNs) by expanding their licensing authority and requiring state employee health plans to reimburse independently practicing APRNs at rates comparable to physicians for the same services. The bill addresses both regulatory autonomy for APRNs and payment parity in government health insurance programs.

Why is this important

This bill directly affects healthcare access and costs in Texas. Expanding APRN independence could increase healthcare provider availability in underserved areas, while payment parity requirements would impact state employee health plan premiums and budgets. The changes also influence the competitive dynamics between nursing and medical professions in the state's healthcare marketplace.

Potential points of contention

  • Physician opposition: The medical community may resist payment parity and expanded APRN scope of practice as threats to physician autonomy and patient safety standards
  • Healthcare cost implications: State employee health plans and the budget office may oppose reimbursement mandates that could increase administrative costs and premium expenditures
  • Regulatory scope clarity: Questions remain about what constitutes "independent practice" and how oversight mechanisms would function without physician supervision requirements

Compiled from official sources — confirm details with the bill’s official record.

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