HB 2188 facilitates the transition of the nurse aide certification program from the Health and Human Services Commission to the Texas Board of Nursing. It mandates a study and operational plan to ensure a smooth transition, with findings to be reported to state leaders by December 2026. Additionally, the bill establishes a workgroup to evaluate career pathways for nurse aides, medication aides, and personal care technicians, with a focus on improving alignment between certifications and career progression in the nursing profession​.