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SB 3021

Relating to the licensing and regulation of certain advanced practice registered nurses; authorizing a fee.

89th Legislature (2025) Introduced by César Blanco

Texas bill modifying APRN licensing, regulation, and scope of practice while authorizing state collection of related regulatory fees.

Filed
#governor(i0375) #healthcareexpandedandaccessedlocallyfortexans(healtexans)act(po8u2) #lieutenantgovernor(s0096) #medicalboard #texas(v0644) #medicine&prescriptiondrugs(s7338) #nurses&nurseaides(s2704) #nursing #texasboardof(v0776) #occupationalregulation--healthoccupations(i0540) #speakerofthehouse(s0306)
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Bill Summary · SB 3021

Legislative bill overview

SB 3021 proposes changes to Texas licensing and regulatory requirements for Advanced Practice Registered Nurses (APRNs), including modifications to their scope of practice, supervision requirements, or prescriptive authority. The bill authorizes the state to collect fees related to APRN licensing and regulation.

Why is this important

APRNs (nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives) represent a growing portion of the healthcare workforce in Texas. Changes to their licensing requirements and regulatory authority directly affect healthcare access, particularly in underserved areas, and can influence healthcare costs and patient care quality across the state.

Potential points of contention

  • Physician supervision requirements: Any relaxation of physician oversight could face resistance from medical boards and physician organizations concerned about patient safety; conversely, increased restrictions could be opposed by nursing organizations advocating for APRN autonomy
  • Fee structure and cost burden: The authorization for new or increased licensing fees may be contested by APRN groups concerned about regulatory costs being passed to practitioners, potentially affecting healthcare workforce recruitment and retention
  • Scope of practice expansion or limitation: Changes defining what procedures, diagnoses, or prescriptions APRNs can independently manage will likely generate disagreement between nursing advocates seeking broader authority and physician groups preferring more restrictive boundaries

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

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