10 | 4 | | AN ACT |
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11 | 5 | | relating to the establishment of a sentinel surveillance program |
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12 | 6 | | for emerging and neglected tropical diseases. |
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13 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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14 | 8 | | SECTION 1. Subtitle D, Title 2, Health and Safety Code, is |
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15 | 9 | | amended by adding Chapter 100 to read as follows: |
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16 | 10 | | CHAPTER 100. EMERGING AND NEGLECTED TROPICAL DISEASES |
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17 | 11 | | Sec. 100.001. DEFINITIONS. In this chapter: |
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18 | 12 | | (1) "Emerging disease" means a disease that is |
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19 | 13 | | appearing in a specific population for the first time or that is |
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20 | 14 | | increasing in incidence or geographic range. |
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21 | 15 | | (2) "Health facility" includes: |
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22 | 16 | | (A) a general or special hospital licensed by the |
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23 | 17 | | department under Chapter 241; |
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24 | 18 | | (B) a physician-owned or physician-operated |
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25 | 19 | | clinic; |
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26 | 20 | | (C) a publicly or privately funded medical |
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27 | 21 | | school; |
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28 | 22 | | (D) a state hospital or state school maintained |
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29 | 23 | | and managed by the department or the Department of Aging and |
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30 | 24 | | Disability Services; |
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31 | 25 | | (E) a public health clinic conducted by a local |
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32 | 26 | | health unit, health department, or public health district organized |
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33 | 27 | | and recognized under Chapter 121; and |
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34 | 28 | | (F) another facility specified by a rule adopted |
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35 | 29 | | by the executive commissioner. |
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36 | 30 | | (3) "Local health unit" has the meaning assigned by |
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37 | 31 | | Section 121.004. |
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38 | 32 | | (4) "Neglected tropical disease" means a parasitic or |
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39 | 33 | | bacterial disease that: |
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40 | 34 | | (A) occurs solely or principally in the tropics; |
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41 | 35 | | (B) is largely endemic in the developing world; |
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42 | 36 | | and |
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43 | 37 | | (C) has a potential to spread through |
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44 | 38 | | international travel or trade. |
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45 | 39 | | Sec. 100.002. CONFIDENTIALITY. (a) Except as specifically |
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46 | 40 | | authorized by this chapter, reports, records, and information |
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47 | 41 | | furnished to a department employee or to an authorized agent of the |
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48 | 42 | | department that relate to cases or suspected cases of a health |
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49 | 43 | | condition are confidential and may be used only for the purposes of |
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50 | 44 | | this chapter. |
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51 | 45 | | (b) Reports, records, and information relating to cases or |
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52 | 46 | | suspected cases of health conditions in the possession of the |
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53 | 47 | | department under this chapter are not public information under |
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54 | 48 | | Chapter 552, Government Code, and may not be released or made public |
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55 | 49 | | on subpoena or otherwise except as provided by this chapter. |
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56 | 50 | | (c) The department shall release medical, epidemiological, |
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57 | 51 | | or toxicological information: |
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58 | 52 | | (1) to medical personnel, appropriate state agencies, |
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59 | 53 | | health authorities, regional directors, and public officers of |
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60 | 54 | | counties and municipalities as necessary to comply with this |
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61 | 55 | | chapter and rules relating to the identification, monitoring, and |
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62 | 56 | | referral of individuals infected with an emerging or neglected |
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63 | 57 | | tropical disease; or |
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64 | 58 | | (2) to appropriate federal agencies, such as the |
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65 | 59 | | Centers for Disease Control and Prevention of the United States |
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66 | 60 | | Public Health Service. |
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67 | 61 | | (d) The department may release medical, epidemiological, or |
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68 | 62 | | toxicological information for statistical purposes, if released in |
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69 | 63 | | a manner that prevents the identification of any person. |
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70 | 64 | | Sec. 100.003. LIMITATION OF LIABILITY. A health |
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71 | 65 | | professional, a health facility, or an administrator, officer, or |
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72 | 66 | | employee of a health facility subject to this chapter is not civilly |
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73 | 67 | | or criminally liable for divulging information required to be |
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74 | 68 | | released under this chapter, except in a case of gross negligence or |
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75 | 69 | | wilful misconduct. |
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76 | 70 | | Sec. 100.004. COOPERATION OF GOVERNMENTAL ENTITIES. |
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77 | 71 | | Another state board, commission, agency, or governmental entity |
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78 | 72 | | capable of assisting the department in carrying out the intent of |
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79 | 73 | | this chapter shall cooperate with the department and furnish |
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80 | 74 | | expertise, services, and facilities to the program. |
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81 | 75 | | Sec. 100.005. SENTINEL SURVEILLANCE PROGRAM. (a) The |
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82 | 76 | | executive commissioner shall establish in the department a program |
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83 | 77 | | to: |
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84 | 78 | | (1) identify by sentinel surveillance individuals |
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85 | 79 | | infected with emerging or neglected tropical diseases; |
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86 | 80 | | (2) maintain a central database of |
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87 | 81 | | laboratory-confirmed cases of emerging and neglected tropical |
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88 | 82 | | diseases; and |
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89 | 83 | | (3) use the information in the database to investigate |
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90 | 84 | | the incidence, prevalence, and trends of emerging and neglected |
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91 | 85 | | tropical diseases. |
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92 | 86 | | (b) In establishing the sentinel surveillance program for |
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93 | 87 | | emerging and neglected tropical diseases, the executive |
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94 | 88 | | commissioner shall consider: |
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95 | 89 | | (1) the location of health facilities that collect |
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96 | 90 | | locally emerging and neglected tropical disease information; and |
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97 | 91 | | (2) the use, privacy, and security of existing data |
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98 | 92 | | collected by health facilities. |
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99 | 93 | | (c) The executive commissioner shall adopt rules to govern |
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100 | 94 | | the operation of the program and carry out the intent of this |
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101 | 95 | | chapter, including rules that: |
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102 | 96 | | (1) specify a system for selecting the demographic |
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103 | 97 | | areas in which the department collects information; and |
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104 | 98 | | (2) identify the specific emerging and neglected |
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105 | 99 | | tropical diseases that are included in the sentinel surveillance |
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106 | 100 | | program and the manner in which diseases will be added to the |
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107 | 101 | | program as necessary to reflect changing conditions. |
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108 | 102 | | Sec. 100.006. DATA COLLECTION. (a) To ensure an accurate |
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109 | 103 | | source of data, the executive commissioner may require a health |
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110 | 104 | | facility or health professional to make available for review by the |
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111 | 105 | | department or by an authorized agent medical records or other |
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112 | 106 | | information in the facility's or professional's custody or control |
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113 | 107 | | that relates to an occurrence of an emerging or neglected tropical |
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114 | 108 | | disease. |
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115 | 109 | | (b) The department shall reimburse a health facility or |
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116 | 110 | | health professional for the actual costs incurred by the facility |
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117 | 111 | | or professional in making copies of medical records or other |
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118 | 112 | | information available to the department. |
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119 | 113 | | (c) The executive commissioner by rule shall prescribe the |
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120 | 114 | | manner in which information is reported to the department. |
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121 | 115 | | Sec. 100.007. DATABASE. (a) Information collected and |
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122 | 116 | | analyzed by the department or an authorized agent under this |
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123 | 117 | | chapter may be placed in a central database to facilitate |
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124 | 118 | | information sharing and provider education. |
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125 | 119 | | (b) The department may use the database to: |
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126 | 120 | | (1) design and evaluate measures to prevent the |
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127 | 121 | | occurrence of emerging and neglected tropical diseases and other |
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128 | 122 | | health conditions; and |
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129 | 123 | | (2) provide information and education to providers on |
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130 | 124 | | the incidence of emerging and neglected tropical diseases. |
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131 | 125 | | Sec. 100.008. EDUCATIONAL AND INFORMATIONAL MATERIALS. The |
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132 | 126 | | department shall make available to health facilities and health |
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133 | 127 | | professionals: |
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134 | 128 | | (1) educational and informational materials |
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135 | 129 | | concerning emerging and neglected tropical diseases; and |
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136 | 130 | | (2) information on the importance of monitoring and |
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137 | 131 | | surveilling emerging and neglected tropical diseases. |
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138 | 132 | | SECTION 2. Not later than November 1, 2015, the executive |
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139 | 133 | | commissioner of the Health and Human Services Commission shall |
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140 | 134 | | adopt rules as required by Section 100.005, Health and Safety Code, |
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141 | 135 | | as added by this Act. |
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142 | 136 | | SECTION 3. This Act takes effect September 1, 2015. |
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