HB 1942: bill letting HMOs contract directly with nurse practitioners

Caption

relating to the participation of an advanced practice registered nurse as a participating or preferred provider for health maintenance organizations and preferred provider benefit plans.

Caption from analyzed text · version I.

Summary

Even when the supervising physician is out of network.

The bill lets HMOs contract directly with advanced practice registered nurses, and lets PPO insurers list those nurses as preferred providers. It does this even when the nurse's supervising physician is not in that plan's network. It touches advanced practice nurses, their supervising physicians, HMOs and PPO insurers, and it starts September 1, 2025, without letting insurers control the practice of medicine.

Labels

Labels: GOT HALFWAY. Passed the House on May 14, 2025. Died in the Senate: left pending in the Health & Human Services committee.

Receipt

The receipt

89R-HB1942 · 2025-01-17

SOLD BY

Rep. John T. SmitheeRHouse 86

+ 3 coauthors

ITEM

relating to the participation of an advanced practice registered nurse as a participating or preferred provider for health maintenance organizations and preferred provider benefit plans.

WHAT IT DOES

Even when the supervising physician is out of network.

The bill lets HMOs contract directly with advanced practice registered nurses, and lets PPO insurers list those nurses as preferred providers. It does this even when the nurse's supervising physician is not in that plan's network. It touches advanced practice nurses, their supervising physicians, HMOs and PPO insurers, and it starts September 1, 2025, without letting insurers control the practice of medicine.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 20, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

Jan 17, 2025Filed
Mar 14, 2025Read first time
Mar 14, 2025Referred to Insurance
Mar 26, 2025Scheduled for public hearing on . . .
Mar 26, 2025Considered in public hearing
Mar 26, 2025Testimony taken/registration(s) recorded in committee
Mar 26, 2025Left pending in committee
Apr 3, 2025Considered in formal meeting
Apr 3, 2025Reported favorably w/o amendment(s)
Apr 8, 2025Comte report filed with Committee Coordinator
Apr 8, 2025Committee report distributed
Apr 9, 2025Committee report sent to Calendars
May 2, 2025Considered in Calendars
May 8, 2025Considered in Calendars
May 10, 2025Placed on General State Calendar
May 13, 2025Read 2nd time
May 13, 2025Passed to engrossment
May 13, 2025Record vote RV#2410
May 13, 2025Statement(s) of vote recorded in Journal
May 14, 2025Read 3rd time
May 14, 2025Passed
May 14, 2025Record vote RV#2481
May 14, 2025Reported engrossed
May 15, 2025Received from the House
May 15, 2025Read first time
May 15, 2025Referred to Health & Human Services
May 21, 2025Scheduled for public hearing on . . .
May 21, 2025Considered in public hearing
May 21, 2025Testimony taken in committee
May 21, 2025Left pending in committee

FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 136 yea · 1 nay

Sources

House: Final passage · May 14, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

John T. Smithee

Donors

Kickapoo Traditional Tribe of TX$5KRichard Weekley$5,000Texans for Lawsuit Reform PAC$5K

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Aug 19, 2024 to Jun 24, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Kickapoo Traditional Tribe of TX$5,000.00

Kickapoo Traditional Tribe of TX

$5,000.00

Cash: $5,000.00
Paid by others: $0.00
Total: $5,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Aug 28, 2024. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Aug 28, 2024. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100968332.

Richard Weekley$5,000.00

Texans for Lawsuit Reform PAC$5,000.00

Texans for Lawsuit Reform PAC

$5,000.00

Cash: $5,000.00
Paid by others: $0.00
Total: $5,000.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · on Jun 24, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101011601.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Kickapoo Traditional Tribe of TX

$5,000.00

Cash: $5,000.00
Paid by others: $0.00
Total: $5,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Aug 28, 2024. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Aug 28, 2024. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100968332.

×

Texans for Lawsuit Reform PAC

$5,000.00

Cash: $5,000.00
Paid by others: $0.00
Total: $5,000.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · on Jun 24, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101011601.

Votes2

House May 14, 2025

Yea: 136
Nay: 1
Present, not voting: 2
Absent: 8
Excused: 3

Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2481

HB 1942 was passed by (Record 2481): 136 Yeas, 1 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

Yea: 136 (published)
Nay: 1 (published)
Present, not voting: 2 (published)
Absent: 8 (derived from named list)
Excused: 3 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

House May 13, 2025

Yea: 130
Nay: 2
Present, not voting: 1
Absent: 7
Excused: 10

Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2410

HB 1942 was passed to engrossment by (Record 2410): 130 Yeas, 2 Nays, 1 Present, not voting.

Published stock of positions for this vote, except where marked derived.

Yea: 130 (published)
Nay: 2 (published)
Present, not voting: 1 (published)
Absent: 7 (derived from named list)
Excused: 10 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses6

For: 5
Against: 0
On: 1

Names

For

AARP Texas1 registration
NABIP-TX (National Association of Benefits and Insurance Professionals)1 registration
Self; Texas Association of Benefit Administrators1 registration
Self; Texas nurse practtioners1 registration
Texas Association of Health Plans1 registration

On

Texas Department of Insurance1 registration

Sources

6 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 20, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

Sources

Texas House · Filed Jan 17, 2025

05/21/2025 S Left pending in committee

Texas Legislature Online · Introduced · House Committee Report · Engrossed

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors

Briscoe CainRHouse 128

Aicha DavisDHouse 109

Penny Morales ShawDHouse 148

Companion

SB 1487 by Perry (identical)

Subjects

Health Care Providers

Insurance--Health & Accident

Occupational Regulation--Health Occupations

HEALTH MAINTENANCE ORGANIZATIONS

NURSES & NURSE AIDES

Text

The text as introduced · 253 words

89R5965 SCF-D

By: Smithee
H.B. No. 1942

A BILL TO BE ENTITLED

AN ACT

relating to the participation of an advanced practice registered

nurse as a participating or preferred provider for health

maintenance organizations and preferred provider benefit plans.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Subchapter I, Chapter 843, Insurance Code, is

amended by adding Section 843.3125 to read as follows:

Sec. 843.3125. CONTRACTS WITH ADVANCED PRACTICE REGISTERED

NURSES. (a) A health maintenance organization may contract

directly with an advanced practice registered nurse to provide

health care services on behalf of the health maintenance

organization regardless of whether the physician supervising the

advanced practice registered nurse provides health care services

for the health maintenance organization.

(b) This section may not be construed as authorizing a

health maintenance organization to supervise or control the

practice of medicine as prohibited by Subtitle B, Title 3,

Occupations Code.

SECTION 2. Subchapter B, Chapter 1301, Insurance Code, is

amended by adding Section 1301.0525 to read as follows:

Sec. 1301.0525. DESIGNATION OF ADVANCED PRACTICE

REGISTERED NURSES AS PREFERRED PROVIDERS. (a) An insurer offering

a preferred provider benefit plan may designate an advanced

practice registered nurse as a preferred provider regardless of

whether the physician supervising the advanced practice registered

nurse is a preferred provider.

(b) This section may not be construed as authorizing an

insurer to supervise or control the practice of medicine as

prohibited by Subtitle B, Title 3, Occupations Code.

SECTION 3. This Act takes effect September 1, 2025.

Verdict: No flags

The receipt

SOLD BY

ITEM

WHAT IT DOES

CHARGES

TOTAL

HISTORY

SIGNED FOR BY

Donors

Kickapoo Traditional Tribe of TX

Texans for Lawsuit Reform PAC

Kickapoo Traditional Tribe of TX

Texans for Lawsuit Reform PAC

House May 14, 2025

House May 13, 2025

For

On

Companion