1 | 1 | | By: Hinojosa S.B. No. 2013 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | A BILL TO BE ENTITLED |
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5 | 5 | | AN ACT |
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6 | 6 | | relating to interoperable health information technology. |
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7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 8 | | SECTION 1. Subtitle I, Title 2, Health and Safety Code, is |
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9 | 9 | | amended by adding Chapter 183 to read as follows: |
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10 | 10 | | CHAPTER 183. INTEROPERABLE HEALTH INFORMATION TECHNOLOGY. |
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11 | 11 | | Sec. 183.001. The state shall leverage its market power to |
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12 | 12 | | facilitate the adoption of health information technology the |
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13 | 13 | | development of an statewide interoperable health information |
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14 | 14 | | technology network The network must: |
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15 | 15 | | (1) provide secure aggregation and access to health |
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16 | 16 | | care data through the use of a federated health information |
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17 | 17 | | exchange infrastructure. |
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18 | 18 | | (2) provide cross-domain single sign-on allowing for |
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19 | 19 | | real-time data aggregation across disparate organizations and |
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20 | 20 | | systems; and |
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21 | 21 | | (3) be compatible with recognized national data |
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22 | 22 | | standards in order to allow for interstate interoperability. |
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23 | 23 | | Sec. 183.002 DEFINITIONS. In this chapter: |
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24 | 24 | | (1) "Health information technology" means the |
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25 | 25 | | application of information processing, involving both computer |
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26 | 26 | | hardware and software that deals with the storage, retrieval, |
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27 | 27 | | sharing and use of health care information, data and knowledge for |
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28 | 28 | | communication and decision-making, and includes: |
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29 | 29 | | (A) An electronic health record that provides |
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30 | 30 | | access in real-time to a patient's complete medical record; |
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31 | 31 | | (B) a personal health record through which an |
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32 | 32 | | individual, and anyone authorized by such individual, can maintain |
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33 | 33 | | and manage such individual's health information; |
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34 | 34 | | (C) computerized order entry technology that |
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35 | 35 | | permits a health care provider to order diagnostic and treatment |
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36 | 36 | | services, including prescription drugs electronically; |
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37 | 37 | | (D) electronic alerts and reminders to health |
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38 | 38 | | care providers to improve compliance with best practices, promote |
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39 | 39 | | regular screenings and other preventive practices, and facilitate |
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40 | 40 | | diagnoses and treatments; |
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41 | 41 | | (E) error notification procedures that generate |
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42 | 42 | | a warning if an order is entered that is likely to lead to a |
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43 | 43 | | significant adverse outcome for a patient; and |
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44 | 44 | | (F) tools to allow for the collection, analysis |
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45 | 45 | | and reporting of data on adverse events, near misses, the quality |
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46 | 46 | | and efficiency of care, patient satisfaction and other |
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47 | 47 | | healthcare-related performance measures. |
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48 | 48 | | (2) "Interoperability" means the ability of two or |
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49 | 49 | | more systems or components to exchange information and to use the |
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50 | 50 | | information that has been exchanged, including: |
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51 | 51 | | (A) The capacity to physically connect to a |
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52 | 52 | | secure network for the purpose of exchanging data with other users; |
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53 | 53 | | (B) the ability of a connected user to |
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54 | 54 | | demonstrate appropriate permissions to participate in the sharing |
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55 | 55 | | of information over the network; and |
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56 | 56 | | (C) the capacity of a connected user with such |
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57 | 57 | | permissions to access, transmit, receive and exchange usable |
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58 | 58 | | information with other users. |
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59 | 59 | | (3) "Standard electronic format" means a format using |
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60 | 60 | | open electronic standards that: |
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61 | 61 | | (A) Enable health information technology to be |
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62 | 62 | | used for the collection of clinically specific data; |
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63 | 63 | | (B) promote the interoperability of health care |
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64 | 64 | | information across health care settings, including reporting to |
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65 | 65 | | local, state and federal agencies; and |
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66 | 66 | | (C) facilitate clinical decision support. |
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67 | 67 | | Section 183.003. PRIVACY AND SECURITY. |
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68 | 68 | | The network is expected to adhere to all applicable state and |
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69 | 69 | | federal privacy laws and to adopt appropriate security measures |
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70 | 70 | | related to both to data within the network and the network itself. |
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71 | 71 | | Section 183.004. GRANTS TO PROVIDERS. |
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72 | 72 | | The state may establish and implement a program to provide grants to |
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73 | 73 | | providers in need of assistance in obtaining hardware and software |
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74 | 74 | | needed to access the network. The XXXX shall adopt rules to |
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75 | 75 | | establish eligibility criteria, including financial need |
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76 | 76 | | thresholds and allowable purchases under the grant program. |
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77 | 77 | | Sec. 183.005. FUNDING. (a) The network may be funded |
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78 | 78 | | through the General Appropriations Act and the state may request, |
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79 | 79 | | accept, and use gifts and grants as necessary. |
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80 | 80 | | SECTION 2. This Act takes effect immediately if it receives |
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81 | 81 | | a vote of two-thirds of all the members elected to each house, as |
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82 | 82 | | provided by Section 39, Article III, Texas Constitution. If this |
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83 | 83 | | Act does not receive the vote necessary for immediate effect, this |
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84 | 84 | | Act takes effect September 1, 2009. |
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