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 ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, ESch
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
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
Honorable Lacey Hull, Chair, House Committee on Human Services
Honorable Lacey Hull, Chair, House Committee on Human Services
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
HB4371 by Harris Davila (Relating to the provision of services by certain persons in the private duty nursing program.), As Introduced
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 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.
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: b > td > 529 Health and Human Services Commission
529 Health and Human Services Commission
LBB Staff: b > td > JMc, NPe, ER, ESch
JMc, NPe, ER, ESch