6 | 3 | | |
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7 | 4 | | |
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8 | 5 | | A BILL TO BE ENTITLED |
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9 | 6 | | AN ACT |
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10 | 7 | | relating to disease control pilot programs to reduce the risk of |
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11 | 8 | | certain communicable diseases; authorizing fees. |
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12 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 10 | | SECTION 1. The legislature finds that because drug abuse |
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14 | 11 | | has been a tragedy for many Texas families, it is imperative that |
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15 | 12 | | individuals addicted to drugs receive education and treatment for |
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16 | 13 | | addiction. Working with community-based and faith-based |
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17 | 14 | | organizations creates a network of support for Texas families and |
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18 | 15 | | the opportunity to intervene in drug addiction. Members of |
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19 | 16 | | community-based and faith-based organizations have a strong desire |
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20 | 17 | | to compassionately work to preserve lives and offer help to those |
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21 | 18 | | stricken with disease and drug addiction. |
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22 | 19 | | Allowing for the operation of disease control pilot programs |
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23 | 20 | | will reduce the transmission of bloodborne diseases, such as |
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24 | 21 | | HIV/AIDS, hepatitis B, and hepatitis C, and provide clients with |
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25 | 22 | | referrals to appropriate health and social services. A pilot |
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26 | 23 | | program created under this Act may provide necessary access to |
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27 | 24 | | primary health care, ensure safe and sterile disposal of used |
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28 | 25 | | syringes and needles, and protect the public health. In addition, |
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29 | 26 | | pilot program goals may include reduced rates of intravenous drug |
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30 | 27 | | use and a reduced number of injuries to innocent victims, first |
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31 | 28 | | responders, and law enforcement caused by needle sticks from |
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32 | 29 | | improperly disposed-of needles. Additionally, it is the intent of |
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33 | 30 | | the legislature that the pilot program will increase access to drug |
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34 | 31 | | treatment centers, increase the likelihood of successful |
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35 | 32 | | treatments for addiction, and protect the public health and safety. |
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36 | 33 | | SECTION 2. Section 531.0972, Government Code, is amended to |
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37 | 34 | | read as follows: |
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38 | 35 | | Sec. 531.0972. PILOT PROGRAM TO PREVENT THE SPREAD OF |
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39 | 36 | | CERTAIN INFECTIOUS OR COMMUNICABLE DISEASES. The commission may |
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40 | 37 | | provide guidance to the counties and the hospital districts in |
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41 | 38 | | those counties that establish [the local health authority of Bexar |
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42 | 39 | | County in establishing] a pilot program under Subchapter J, Chapter |
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43 | 40 | | 81, Health and Safety Code, [funded by the county] to prevent the |
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44 | 41 | | spread of HIV, hepatitis B, hepatitis C, and other infectious and |
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45 | 42 | | communicable diseases. The program may include a disease control |
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46 | 43 | | program that provides for the anonymous exchange of used hypodermic |
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47 | 44 | | needles and syringes. |
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48 | 45 | | SECTION 3. Chapter 81, Health and Safety Code, is amended by |
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49 | 46 | | adding Subchapter J to read as follows: |
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50 | 47 | | SUBCHAPTER J. PILOT PROGRAMS TO REDUCE RISK OF CERTAIN |
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51 | 48 | | COMMUNICABLE DISEASES |
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52 | 49 | | Sec. 81.401. APPLICABILITY OF SUBCHAPTER. This subchapter |
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53 | 50 | | applies only to Bexar, Dallas, El Paso, Harris, Nueces, Travis, and |
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54 | 51 | | Webb Counties and hospital districts in those counties. |
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55 | 52 | | Sec. 81.402. DISEASE CONTROL PILOT PROGRAMS. (a) A county |
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56 | 53 | | or hospital district may authorize an organization to establish a |
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57 | 54 | | disease control pilot program under this subchapter to prevent the |
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58 | 55 | | spread of HIV, hepatitis B, hepatitis C, and other infectious and |
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59 | 56 | | communicable diseases. The pilot program may include disease |
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60 | 57 | | control outreach programs that: |
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61 | 58 | | (1) provide for the anonymous exchange of used |
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62 | 59 | | hypodermic needles and syringes for an equal number of new |
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63 | 60 | | hypodermic needles and syringes; |
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64 | 61 | | (2) offer education on the transmission and prevention |
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65 | 62 | | of communicable diseases, including HIV, hepatitis B, and hepatitis |
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66 | 63 | | C; and |
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67 | 64 | | (3) assist program participants in obtaining health |
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68 | 65 | | care and other physical and mental health-related services, |
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69 | 66 | | including substance abuse treatment services and bloodborne |
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70 | 67 | | disease testing. |
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71 | 68 | | (b) As part of the pilot program under Subsection (a), a |
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72 | 69 | | county or hospital district by order or similar measure may |
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73 | 70 | | authorize an organization to register with the county or hospital |
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74 | 71 | | district to distribute hypodermic needles and syringes for the |
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75 | 72 | | purpose of controlling the spread of certain bloodborne |
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76 | 73 | | communicable diseases. The county or hospital district may charge a |
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77 | 74 | | reasonable fee for registration under this subchapter to pay for |
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78 | 75 | | oversight functions, including coordination with law enforcement |
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79 | 76 | | personnel. |
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80 | 77 | | (c) An organization operating a disease control pilot |
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81 | 78 | | program authorized by this subchapter may charge a participant in |
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82 | 79 | | the program a fee for each hypodermic needle or syringe used in the |
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83 | 80 | | program not to exceed 150 percent of the actual cost of the |
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84 | 81 | | hypodermic needle or syringe. |
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85 | 82 | | (d) An organization operating a disease control pilot |
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86 | 83 | | program authorized by this subchapter shall annually provide the |
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87 | 84 | | department and the county or hospital district authorizing the |
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88 | 85 | | program with information on: |
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89 | 86 | | (1) the effectiveness of the program; |
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90 | 87 | | (2) the program's impact on reducing the spread of |
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91 | 88 | | communicable diseases, including HIV, hepatitis B, and hepatitis C; |
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92 | 89 | | and |
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93 | 90 | | (3) the program's effect on injected drug use in the |
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94 | 91 | | area served by the county or hospital district. |
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95 | 92 | | Sec. 81.403. DISTRIBUTION OF NEEDLES AND SYRINGES TO PILOT |
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96 | 93 | | PROGRAM. A person licensed as a wholesale drug distributor or |
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97 | 94 | | device distributor under Chapter 431 may distribute hypodermic |
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98 | 95 | | needles and syringes to a disease control pilot program authorized |
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99 | 96 | | by this subchapter. |
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100 | 97 | | Sec. 81.404. HANDLING OF NEEDLES AND SYRINGES. (a) An |
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101 | 98 | | organization operating a disease control pilot program shall store |
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102 | 99 | | hypodermic needles and syringes in a proper and secure manner. Only |
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103 | 100 | | authorized employees or volunteers of the program may have access |
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104 | 101 | | to the hypodermic needles and syringes. The hypodermic needles and |
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105 | 102 | | syringes may be included in packaged safe kits made available to |
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106 | 103 | | program clients through the program. Program clients may obtain |
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107 | 104 | | hypodermic needles and syringes and safe kits only from an |
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108 | 105 | | authorized employee or volunteer of the program. |
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109 | 106 | | (b) An organization operating a disease control pilot |
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110 | 107 | | program authorized by this subchapter shall store and dispose of |
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111 | 108 | | used hypodermic needles and syringes in accordance with applicable |
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112 | 109 | | state laws and administrative rules governing the safe and proper |
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113 | 110 | | disposal of medical waste. |
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114 | 111 | | Sec. 81.405. FUNDING. Except to the extent specifically |
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115 | 112 | | prohibited by law, an organization may solicit or accept gifts, |
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116 | 113 | | grants, or donations to fund a disease control pilot program under |
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117 | 114 | | Section 81.402(a). |
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118 | 115 | | Sec. 81.406. EXPIRATION. This subchapter expires September |
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119 | 116 | | 1, 2025. |
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120 | 117 | | SECTION 4. Section 481.125, Health and Safety Code, is |
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121 | 118 | | amended by adding Subsections (g), (h), and (i) to read as follows: |
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122 | | - | (g) It is an exception to the application of Subsections (a) |
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123 | | - | and (b) that the person dispenses or delivers a hypodermic needle or |
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124 | | - | syringe for a medical purpose. For the purposes of this subsection, |
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125 | | - | "medical purpose" includes the exchange of a hypodermic needle or |
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126 | | - | syringe for a used hypodermic needle or syringe in a disease control |
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127 | | - | pilot program described by Subchapter J, Chapter 81. |
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128 | | - | (h) It is an exception to the application of Subsections (a) |
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129 | | - | and (b) that the person manufactures hypodermic needles or syringes |
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130 | | - | for delivery to a disease control pilot program described by |
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131 | | - | Subchapter J, Chapter 81. |
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132 | | - | (i) It is an exception to the application of Subsections (a) |
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133 | | - | and (b) that the person is an employee, volunteer, duly authorized |
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134 | | - | agent, or participant of a disease control pilot program described |
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135 | | - | by Subchapter J, Chapter 81, and uses, possesses, or delivers a |
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136 | | - | hypodermic needle or syringe as part of the program. |
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| 119 | + | (g) Subsections (a) and (b) do not apply to a person who |
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| 120 | + | dispenses or delivers a hypodermic needle or syringe for a medical |
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| 121 | + | purpose. For the purposes of this subsection, "medical purpose" |
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| 122 | + | includes the exchange of a hypodermic needle or syringe for a used |
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| 123 | + | hypodermic needle or syringe in a disease control pilot program |
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| 124 | + | described by Subchapter J, Chapter 81. |
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| 125 | + | (h) Subsections (a) and (b) do not apply to a person who |
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| 126 | + | manufactures hypodermic needles or syringes for delivery to a |
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| 127 | + | disease control pilot program described by Subchapter J, Chapter |
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| 128 | + | 81. |
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| 129 | + | (i) Subsections (a) and (b) do not apply to a person who is |
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| 130 | + | an employee, volunteer, duly authorized agent, or participant of a |
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| 131 | + | disease control pilot program described by Subchapter J, Chapter |
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| 132 | + | 81, and uses, possesses, or delivers a hypodermic needle or syringe |
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| 133 | + | as part of the program. |
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