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Bill

HB 4371

Relating to the provision of services by certain persons in the private duty nursing program.

89th Legislature (2025) Introduced by Caroline Harris Davila

HB 4371 modifies Texas private duty nursing services, potentially altering who can provide care and how services are delivered in home settings.

Reported favorably as substituted
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Bill Summary · HB 4371

Legislative bill overview

HB 4371 modifies Texas's private duty nursing program by adjusting the provision of services and potentially expanding or clarifying which individuals can deliver certain nursing services. The bill has progressed through committee hearings and received a favorable report with a substitute version, indicating legislative refinement of the original proposal.

Why is this important

Private duty nursing affects vulnerable populations—including elderly individuals and those with chronic conditions—who rely on in-home care services. Changes to who can provide these services directly impact healthcare quality, accessibility, and costs for Texans requiring long-term or specialized home nursing care.

Potential points of contention

  • Scope of practice expansion: Clarifying which non-licensed or differently-credentialed individuals can perform nursing tasks raises concerns about patient safety and professional standards versus accessibility and cost reduction
  • Workforce implications: Expanding service provision roles may affect employment and compensation for licensed nurses or create new career pathways, with competing interests between nursing associations and care providers
  • Regulatory clarity: Ambiguity about supervision requirements, liability, and oversight mechanisms could create compliance challenges for private duty nursing agencies and home care organizations

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

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