82R13381 YDB-D By: Fletcher H.B. No. 2648 A BILL TO BE ENTITLED AN ACT relating to the reestablishment of the Texas Bleeding Disorders Advisory Council. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle E, Title 2, Health and Safety Code, is amended by adding Chapter 103A to read as follows: CHAPTER 103A. TEXAS BLEEDING DISORDERS ADVISORY COUNCIL Sec. 103A.001. DEFINITIONS. In this chapter: (1) "Commissioner" means the commissioner of state health services. (2) "Council" means the Texas Bleeding Disorders Advisory Council. (3) "Department" means the Department of State Health Services. (4) "Hemophilia" has the meaning assigned by Section 41.001. Sec. 103A.002. COMPOSITION OF COUNCIL. (a) The council is composed of: (1) the commissioner and the commissioner of insurance, or their designees, serving as nonvoting members; and (2) 10 voting members jointly appointed by the commissioner and the commissioner of insurance as follows: (A) one member who is a physician licensed to practice medicine in this state under Subtitle B, Title 3, Occupations Code, who at the time of appointment treats individuals with hemophilia or other bleeding or clotting disorders; (B) one member who is a nurse licensed under Chapter 301, Occupations Code, who at the time of appointment treats individuals with hemophilia or other bleeding or clotting disorders; (C) one member who is a social worker licensed under Chapter 505, Occupations Code, who at the time of appointment treats individuals with hemophilia or other bleeding or clotting disorders; (D) one member who is a representative of a hemophilia treatment center in this state that is federally funded; (E) one member who is a representative of a health insurer or other health benefit plan issuer that holds a certificate of authority issued by the Texas Department of Insurance; (F) one member who is a representative of a volunteer or nonprofit health organization that serves residents of this state who have hemophilia or another bleeding or clotting disorder; (G) one member who has hemophilia or is a caregiver of a person with hemophilia; (H) one member who has a bleeding disorder other than hemophilia or is a caregiver of a person with a bleeding disorder other than hemophilia; (I) one member who has a clotting disorder or is a caregiver of a person with a clotting disorder; and (J) one member who is a pharmacist licensed under Subtitle J, Title 3, Occupations Code, with hemophilia therapy experience, who at the time of appointment represents a pharmacy provider that is not a specialty pharmacy provider participating in the Drug Pricing Program under Section 340B, Public Health Service Act (42 U.S.C. Section 256b). (b) In addition to council members appointed under Subsection (a), the commissioner and the commissioner of insurance may jointly appoint up to five nonvoting members, including: (1) persons with hemophilia or other bleeding or clotting disorders or caregivers of persons with hemophilia or other bleeding or clotting disorders; and (2) persons experienced in the diagnosis, treatment, care, and support of persons with hemophilia or other bleeding or clotting disorders. Sec. 103A.003. VACANCY. If a vacancy occurs on the council, the commissioner and the commissioner of insurance shall jointly appoint a person to serve for the remainder of the unexpired term. Sec. 103A.004. PRESIDING OFFICER. Council members shall elect from among the voting council members a presiding officer. The presiding officer retains all voting rights. Sec. 103A.005. COMPENSATION AND REIMBURSEMENT. A council member may not: (1) receive compensation for service on the council; and (2) be reimbursed for actual and necessary expenses incurred while performing council business except to the extent that money available under Section 103A.009 is designated for that purpose. Sec. 103A.006. MEETINGS. The council shall meet at least quarterly and at the call of the commissioner or presiding officer. Sec. 103A.007. DUTIES OF COUNCIL. The council shall conduct studies and advise the department, the Health and Human Services Commission, and the Texas Department of Insurance on issues that affect the health and wellness of persons living with hemophilia or other bleeding or clotting disorders, including: (1) legislative or administrative changes to policies and programs that affect the health and wellness of persons with hemophilia or other bleeding or clotting disorders, including policies and programs regarding access to appropriate health insurance or similar health coverage; (2) legislative or administrative changes to policies and programs that affect product-specific reimbursement to providers, including policies and programs regarding new payment methods for: (A) anti-hemophilia factor that include various reimbursement methodologies for products dispensed under the Medicaid program; or (B) other appropriate treatment; (3) best practices in standards of care and treatment for persons with hemophilia or other bleeding or clotting disorders; (4) the establishment of community-based initiatives to disseminate information on services and related activities available for persons living with hemophilia or other bleeding or clotting disorders to the medical and health care community, the academic community, primary caregivers, advocacy associations, and the public; and (5) the coordination of public and private support networking systems for persons living with hemophilia or other bleeding or clotting disorders and primary caregivers. Sec. 103A.008. ANNUAL REPORTS BY COUNCIL AND COMMISSIONER. (a) Not later than December 1 of each even-numbered year, the council shall submit a report of its findings and recommendations to the governor, the lieutenant governor, and the speaker of the house of representatives. The council's report must be made public and is subject to public review and comment before adoption by the council. (b) Not later than six months after the date the council's annual report is issued, the commissioner shall report on efforts to implement the recommendations in the report. The commissioner's annual report must: (1) be made available to the public; and (2) include any related state or national activities in which the council participates. Sec. 103A.009. GIFTS, GRANTS, AND DONATIONS. The commissioner may accept for the council gifts, grants, and donations to fulfill the council's purposes and duties under this chapter. The department is not required to perform any fund-raising activities or to solicit donations for the council. Sec. 103A.010. CERTAIN FUNDING PROHIBITED. The council may not accept any funds that are appropriated by the legislature and designated for the treatment of hemophilia or other bleeding or clotting disorders. Sec. 103A.011. ADMINISTRATIVE SUPPORT. The department shall provide reasonably necessary administrative support for council activities. Sec. 103A.012. EXPIRATION. This chapter expires and the council is abolished September 1, 2015. SECTION 2. As soon as practicable after the effective date of this Act and not later than December 1, 2011, the commissioner of state health services and the commissioner of insurance shall jointly appoint members to the Texas Bleeding Disorders Advisory Council as required by Section 103A.002, Health and Safety Code, as added by this Act. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2011.