Monitoring the Session

SB 1487

bill letting HMOs contract directly with advanced practice nurses

Died in committee

Verdict: No flags

No flagsInitial review
Sen. Charles PerryRSenate 28

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

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 them as preferred providers, even when the nurse's supervising physician is not in that network. It touches nurse practitioners and similar advanced nurses, HMOs, PPO insurers, and patients in those plans. Insurers gain the option to bring these nurses into their networks on their own, but nothing forces them to, and the bill says insurers still may not control the practice of medicine.

Labels

Labels: NEVER GOT A HEARING. Filed Feb 20, 2025 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB1487 · 2025-02-20

SOLD BY

Sen. Charles PerryRSenate 28

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 them as preferred providers, even when the nurse's supervising physician is not in that network. It touches nurse practitioners and similar advanced nurses, HMOs, PPO insurers, and patients in those plans. Insurers gain the option to bring these nurses into their networks on their own, but nothing forces them to, and the bill says insurers still may not control the practice of medicine.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Health & Human Services
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Charles Perry

Donors

Texans for Lawsuit Reform PAC$60KRyan Texas PAC$35KFort Stockton Holdings LP$25K

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 · Jul 1, 2024 to Oct 23, 2026. 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.

Texans for Lawsuit Reform PAC$60,000.00

Texans for Lawsuit Reform PAC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

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 · Nov 13, 2024 to Oct 23, 2026. 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: 100983698, 101007598, 101030579, 101072377.

Ryan Texas PAC$35,000.00

Ryan Texas PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

Also funds 25 other sitting lawmakers.

Derived recipient stock · Sep 23, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 13, 2024 to Mar 12, 2026. 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: 100983698, 101057700.

Fort Stockton Holdings LP$25,000.00

Fort Stockton Holdings LP

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Nov 23, 2024. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Nov 23, 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: 100983698.

Money

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

×

Texans for Lawsuit Reform PAC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

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 · Nov 13, 2024 to Oct 23, 2026. 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: 100983698, 101007598, 101030579, 101072377.

×

Ryan Texas PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

Also funds 25 other sitting lawmakers.

Derived recipient stock · Sep 23, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 13, 2024 to Mar 12, 2026. 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: 100983698, 101057700.

×

Fort Stockton Holdings LP

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Nov 23, 2024. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Nov 23, 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: 100983698.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

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

Sources

Texas Senate · Filed Feb 20, 2025

03/06/2025 S Referred to Health & Human Services

Texas Legislature Online · Introduced

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

Senate committee · Health & Human Services · Final status: Died in committee

Companion

HB 1942 by Smithee (identical)

Subjects

Health Care Providers

Insurance--Health & Accident

Occupational Regulation--Health Occupations

NURSES & NURSE AIDES

Text

The text as introduced · 253 words

89R5965 SCF-D

By: Perry
S.B. No. 1487

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.