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.: 3812

File Copy No.: 101

House Calendar No.: 310

Senate Calendar No.: 108


OFA Fiscal Note

State Impact:

Agency Affected

Fund-Effect

FY 15 $

FY 16 $

Public Health, Dept.

GF - Cost

less than 20,000

less than 1,500

Resources of the General Fund

GF - Revenue Gain

See Below

See Below

Municipal Impact: None

Explanation

The amendment results in a General Fund revenue gain, beginning on 10/1/14, of $355 per advanced practice registered nurse (APRN) practicing independently at the time of license renewal. It also results in a cost to the Department of Public Health (DPH) of less than $20,000 in FY 15 and less than $1,500 annually thereafter as it requires the establishment APRN profiles.

The amendment creates a fee of $480 for APRNs practicing independently at the time of license renewal to renew their licenses. The licensure renewal fee for APRNs that collaborate with a physician remains unchanged at $125 under the amendment. It is unknown how many APRNs will choose to practice without physician collaboration after having been licensed and practicing in collaboration with a physician for three years. There are currently 4,041 APRNs actively licensed in Connecticut.

The amendment also requires that DPH implement profiles for APRNs. Physicians are currently the only health care providers that have profiles available online through The State of Connecticut eLicensing website. The approximate cost to DPH in the first fiscal year of less than $20,000 reflects one-time eLicense consultant costs for configuration and testing of new “grids” needed to accommodate APRN profiles within the eLicensing website.  Also reflected in the first fiscal year is a cost for mailings to alert APRNs to this new, required feature and provide them with direction on inputting information into the website.  Costs in the second year and onward reflect eLicensing grid development and maintenance of less than $1,500 per year.

With the exception of disciplinary data, all the information in existing physician profiles is self-reported by the physicians.  DPH does not validate the accuracy or correctness of the data provided.  It is anticipated that APRNs would be required to log into the eLicense system to enter their profile data and provide updates as needed.  It is also anticipated that DPH will not accept paper profiles from APRNs, which would require data entry by DPH staff and have an associated cost.

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.

Sources:

The State of Connecticut eLicensing Website https://www.elicense.ct.gov/Lookup/GenerateRoster.aspx