LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 21, 2025 TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3614 by Pierson (Relating to nurse profiles and certain information concerning nurses maintained on the Texas Board of Nursing's Internet website.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB3614, As Introduced: a negative impact of ($6,691,364) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. General Revenue-Related Funds, Five- Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact toGeneral Revenue Related Funds2026($3,655,354)2027($3,036,010)2028($3,095,887)2029($3,159,189)2030($3,226,135)All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 20252026($3,655,354)18.02027($3,036,010)18.02028($3,095,887)18.02029($3,159,189)18.02030($3,226,135)18.0 Fiscal AnalysisThe bill would amend the Occupations Code to require the Board of Nursing to create and maintain a public database containing profiles of all nurses licensed to practice in Texas, which includes up to thirteen data points on each nurse, and to require the agency to subscribe all licensees to the continuous query feature of the National Practitioner Data Bank (NPDB) and include relevant NPDB findings in nurses' public profiles. The bill would take effect on September 1, 2025.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION
April 21, 2025
TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3614 by Pierson (Relating to nurse profiles and certain information concerning nurses maintained on the Texas Board of Nursing's Internet website.), As Introduced
TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: HB3614 by Pierson (Relating to nurse profiles and certain information concerning nurses maintained on the Texas Board of Nursing's Internet website.), As Introduced
Honorable Gary VanDeaver, Chair, House Committee on Public Health
Honorable Gary VanDeaver, Chair, House Committee on Public Health
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
HB3614 by Pierson (Relating to nurse profiles and certain information concerning nurses maintained on the Texas Board of Nursing's Internet website.), As Introduced
HB3614 by Pierson (Relating to nurse profiles and certain information concerning nurses maintained on the Texas Board of Nursing's Internet website.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB3614, As Introduced: a negative impact of ($6,691,364) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
Estimated Two-year Net Impact to General Revenue Related Funds for HB3614, As Introduced: a negative impact of ($6,691,364) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
General Revenue-Related Funds, Five- Year Impact:
2026 ($3,655,354)
2027 ($3,036,010)
2028 ($3,095,887)
2029 ($3,159,189)
2030 ($3,226,135)
All Funds, Five-Year Impact:
2026 ($3,655,354) 18.0
2027 ($3,036,010) 18.0
2028 ($3,095,887) 18.0
2029 ($3,159,189) 18.0
2030 ($3,226,135) 18.0
Fiscal Analysis
The bill would amend the Occupations Code to require the Board of Nursing to create and maintain a public database containing profiles of all nurses licensed to practice in Texas, which includes up to thirteen data points on each nurse, and to require the agency to subscribe all licensees to the continuous query feature of the National Practitioner Data Bank (NPDB) and include relevant NPDB findings in nurses' public profiles. The bill would take effect on September 1, 2025.
The bill would take effect on September 1, 2025.
Methodology
Based on analysis by the Board of Nursing, the bill would impose costs related to NPDB subscription fees, Information Technology (IT) enhancements, and additional staffing. For the continuous query feature, the NPDB charges an annual subscription fee of $2.50 per licensee. With a projected total licensee population of over 608,000 in fiscal year 2026, the annual subscription costs total approximately $1,521,582. With projected growth in the licensee population, this figure increases to approximately $1,578,238 in fiscal year 2027. To implement the bill's provisions, the agency would require a total of 18.0 additional full-time equivalents (FTEs) to perform the following functions. To lead the development and maintenance of the nurse profile web portal, the agency would require 1.0 additional Web Administrator IV FTE, with an annual salary of $92,000 and benefits of $27,527. To perform backend system coding and system integration, the agency would require 1.0 additional Programmer V FTE, with an annual salary of $120,000 and benefits of $35,904. To respond to increased call volume from nurses and the public regarding profile access, corrections, and status updates, the agency would require 2.0 additional Customer Service Representative II FTEs, with annual salaries of $49,000 and benefits of $14,661. To support intake and processing of profile-related data, manage NPDB notification logs, and input NPDB data into the nurse profile portal, the agency would require 4.0 additional Administrative Assistant IV FTEs, with annual salaries of $53,945 and benefits of $16,141. To handle the anticipated increase in email and written inquiries related to nurse profiles and public access requests, as well as to verify data fields specific to Advanced Practice Registered Nurses (APRNs), the agency would require 3.0 additional License and Permit Specialist II FTEs, with annual salaries of $53,000 and benefits of $15,858. To investigate discrepancies in profile content, such as NPDB alerts or self-reported data, and to verify eligibility for the removal of disciplinary actions from the portal, the agency would require 3.0 additional Investigator II FTEs, with annual salaries of $47,000 and benefits of $14,063. To manage the two additional teams that the agency would create, the agency would require 2.0 additional Program Supervisor III FTEs, with annual salaries of $65,045 and benefits of $19,462. To support cross-division coordination with the Licensing and Operations divisions to ensure APRN-specific profile components are implemented correctly, the agency would require 1.0 additional Program Specialist III FTE, with an annual salary of $64,190 and benefits of $19,206. To provide legal counsel on rulemaking, publication of sensitive information, and confidentiality compliance (NPDB data is confidential under federal law and can only be disclosed in certain circumstances), the agency would require 1.0 additional Attorney II FTE, with an annual salary of $86,600 and benefits of $25,911.
For the continuous query feature, the NPDB charges an annual subscription fee of $2.50 per licensee. With a projected total licensee population of over 608,000 in fiscal year 2026, the annual subscription costs total approximately $1,521,582. With projected growth in the licensee population, this figure increases to approximately $1,578,238 in fiscal year 2027.
To implement the bill's provisions, the agency would require a total of 18.0 additional full-time equivalents (FTEs) to perform the following functions. To lead the development and maintenance of the nurse profile web portal, the agency would require 1.0 additional Web Administrator IV FTE, with an annual salary of $92,000 and benefits of $27,527. To perform backend system coding and system integration, the agency would require 1.0 additional Programmer V FTE, with an annual salary of $120,000 and benefits of $35,904. To respond to increased call volume from nurses and the public regarding profile access, corrections, and status updates, the agency would require 2.0 additional Customer Service Representative II FTEs, with annual salaries of $49,000 and benefits of $14,661. To support intake and processing of profile-related data, manage NPDB notification logs, and input NPDB data into the nurse profile portal, the agency would require 4.0 additional Administrative Assistant IV FTEs, with annual salaries of $53,945 and benefits of $16,141. To handle the anticipated increase in email and written inquiries related to nurse profiles and public access requests, as well as to verify data fields specific to Advanced Practice Registered Nurses (APRNs), the agency would require 3.0 additional License and Permit Specialist II FTEs, with annual salaries of $53,000 and benefits of $15,858. To investigate discrepancies in profile content, such as NPDB alerts or self-reported data, and to verify eligibility for the removal of disciplinary actions from the portal, the agency would require 3.0 additional Investigator II FTEs, with annual salaries of $47,000 and benefits of $14,063. To manage the two additional teams that the agency would create, the agency would require 2.0 additional Program Supervisor III FTEs, with annual salaries of $65,045 and benefits of $19,462. To support cross-division coordination with the Licensing and Operations divisions to ensure APRN-specific profile components are implemented correctly, the agency would require 1.0 additional Program Specialist III FTE, with an annual salary of $64,190 and benefits of $19,206. To provide legal counsel on rulemaking, publication of sensitive information, and confidentiality compliance (NPDB data is confidential under federal law and can only be disclosed in certain circumstances), the agency would require 1.0 additional Attorney II FTE, with an annual salary of $86,600 and benefits of $25,911.
Technology
To develop and maintain the public web portal the bill would require, the agency would need: $500,000 for one-time costs in fiscal year 2026 to contract with a vendor for initial development; $130,000 for one-time costs in fiscal year 2026 to purchase servers and storage devices; and $20,000 each subsequent fiscal year for cloud storage service costs. Each of the 18.0 additional FTEs will require computers and equipment, estimated at a one-time cost of $46,000 in fiscal year 2026.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 507 Texas Board of Nursing
507 Texas Board of Nursing
LBB Staff: b > td > JMc, NPe, GDZ, DPE
JMc, NPe, GDZ, DPE