Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200




LCO No.: 4454

File Copy No.: 101

House Calendar No.: 310

Senate Calendar No.: 108

OFA Fiscal Note

State Impact: None

Municipal Impact: None


The amendment changes the length of time in which advanced practice registered nurses (APRNs) must work in collaboration with a physician before they may practice independently. The underlying bill allows APRNs who have been licensed and practicing in collaboration with a physician for at least three years to practice independently. The amendment requires APRNs to have engaged in the performance of advanced practice level nursing activities in collaboration with a physician for not less than 4,000 hours before they may practice independently. This change does not alter APRN licensure or regulatory requirements of the Department of Public Health (DPH) and, therefore, does not result in a fiscal impact to the agency.

The amendment also requires that 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 the receipt of these written statements will fulfil this requirement, there is no anticipated fiscal impact to 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 requirement under the amendment 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 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.