OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

http://www.cga.ct.gov/ofa

SB-36

AN ACT CONCERNING THE GOVERNOR'S RECOMMENDATIONS TO IMPROVE ACCESS TO HEALTH CARE.

AMENDMENT

LCO No.: 3811

File Copy No.: 101

House Calendar No.: 310

Senate Calendar No.: 108


OFA Fiscal Note

State Impact: See Below

Municipal Impact: None

Explanation

The amendment requires that advanced practice registered nurses (APRNs) provide a written statement of their intentions to practice independently to the Commissioner of Public Health. It further requires that the Commissioner maintain a database that includes information as to whether each licensed APRN practices independently or not. Assuming that tracking receipt of the written statement will fulfil this requirement, there is no anticipated fiscal impact to the Department of Public Health (DPH). Should this provision be interpreted, instead, to require DPH to verify whether or not APRNs are practicing independently, there would be a cost to the agency to do so. It is unknown how many APRNs will choose to practice without physician collaboration. There are currently 4,041 APRNs actively licensed in Connecticut.

The amendment also requires that APRNs practicing independently do so in the same area of medical practice in which they practiced for not less than 6,240 hours in collaboration with a physician, which does not result in a fiscal impact to DPH.

The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely for the purposes of information, summarization and explanation and does not represent the intent of the General Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of informational sources, including the analyst's professional knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.