HB 1942 Texas House · 89th Legislature (2025)

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.

HB 1942 allows health maintenance organizations (HMOs) and insurance plans to directly contract with nurse practitioners (advanced practice registered nurses) for healthcare services, without requiring their supervising physician to also be contracted. It also permits insurers to list nurse practitioners as "preferred providers" on insurance plans, even if their supervising physician isn’t designated as preferred. The bill explicitly states it doesn’t change existing laws about physician supervision of medical practice. This affects nurse practitioners seeking insurance contracts, HMOs, and insurers offering preferred provider plans. The law takes effect September 1, 2025.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Mar 14, 2025 Last action May 21, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 3 edits · May 14, 2025
MINOR
The bill text was reformatted and cleaned up to remove extraneous metadata and formatting artifacts while preserving the core legislative content. The substantive policy provisions regarding advanced practice registered nurses contracting with health maintenance organizations and insurers remain unchanged.
TECHNICAL

Removed metadata headers, page numbers, and formatting artifacts from the bill text while preserving the actual legislative sections.

Standardized line breaks and spacing throughout the document for improved readability.

Corrected inconsistent capitalization and spacing in section headers and body text.

Floor votes · House May 14, 2025

How they voted

1351
Passed · 9 other
Total votes 145
May 14, 2025
D Democratic60
55 Yea 1 Nay 4
91% Yea
R Republican85
80 Yea 5
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
29
Key actions
9
Committee
9
May 21, 2025
Upper · Passed
Left pending in committee
upper
May 21, 2025
Upper · Passed
Testimony taken in committee
upper
May 15, 2025
Committee
Referred to Health & Human Services
upper
May 15, 2025
Introduced
Read first time
upper
May 15, 2025
Introduced
Received from the House
upper
May 14, 2025
Lower · Passed
Passed
lower
May 13, 2025
Lower · Passed
Passed to engrossment
lower
Apr 9, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 8, 2025
Lower · Passed
Committee report distributed
lower
Apr 3, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Mar 26, 2025
Lower · Passed
Left pending in committee
lower
Mar 26, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 14, 2025
Committee
Referred to Insurance
lower
Mar 14, 2025
Introduced
Read first time
lower
2 primary · 3 co-sponsors

Sponsors