Currently there are 18 Texas public universities educating Advanced Practice Registered Nurses (APRNs). All 18 universities educate primary care APRNs which include nurse practitioners (NPs), certified nurse midwives (CNMs) and clinical nurse specialists (CNSs). One also prepares certified registered nurse anesthetists (CRNAs). In addition, seven independent universities educate APRNs with five preparing primary care APRNs. Primary care APRNs see children and adults in clinics, nursing homes, and other primary care settings and help address the shortage of primary care providers. Because there is a serious and growing shortage of primary care providers in Texas, the Legislature should fund expansion of the primary care APRN education programs on a pay-for-performance basis.