1 | 1 | | 84R1178 EES-D |
---|
2 | 2 | | By: Lucio S.B. No. 1119 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to a pilot project to evaluate the use of telepractice to |
---|
8 | 8 | | provide certain services to children and adults with an autism |
---|
9 | 9 | | spectrum disorder. |
---|
10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
11 | 11 | | SECTION 1. Subchapter B, Chapter 531, Government Code, is |
---|
12 | 12 | | amended by adding Section 531.02177 to read as follows: |
---|
13 | 13 | | Sec. 531.02177. AUTISM SPECTRUM DISORDER TELEPRACTICE |
---|
14 | 14 | | PILOT PROJECT. (a) In this section, "telepractice" means the use |
---|
15 | 15 | | of telecommunications technology to facilitate a diagnosis or |
---|
16 | 16 | | intervention. |
---|
17 | 17 | | (b) The commission shall develop and implement a six-year |
---|
18 | 18 | | pilot project in which evidence-based diagnostic and intervention |
---|
19 | 19 | | services are provided to children and adults with an autism |
---|
20 | 20 | | spectrum disorder by telepractice by certain physicians and health |
---|
21 | 21 | | and other professionals. |
---|
22 | 22 | | (c) The executive commissioner shall adopt rules necessary |
---|
23 | 23 | | to develop and implement the pilot project under this section. The |
---|
24 | 24 | | rules adopted under this section: |
---|
25 | 25 | | (1) must allow a service provider to be physically |
---|
26 | 26 | | located at and provide services from any site located in or |
---|
27 | 27 | | associated with the autism centers at the following institutions: |
---|
28 | 28 | | (A) The University of Texas Health Science Center |
---|
29 | 29 | | at Houston; |
---|
30 | 30 | | (B) Baylor College of Medicine; |
---|
31 | 31 | | (C) the University of Houston--Clear Lake; |
---|
32 | 32 | | (D) The University of Texas at Dallas and The |
---|
33 | 33 | | University of Texas Southwestern Medical Center; |
---|
34 | 34 | | (E) the University of North Texas; |
---|
35 | 35 | | (F) Texas A&M University; |
---|
36 | 36 | | (G) The University of Texas at Austin; |
---|
37 | 37 | | (H) Texas State University; and |
---|
38 | 38 | | (I) Texas Tech University; |
---|
39 | 39 | | (2) must require services to be provided by a person |
---|
40 | 40 | | authorized to provide telemedicine medical services or telehealth |
---|
41 | 41 | | services or by any of the following persons employed by or under |
---|
42 | 42 | | contract with one of the autism centers described in Subdivision |
---|
43 | 43 | | (1): |
---|
44 | 44 | | (A) a board certified behavior analyst; |
---|
45 | 45 | | (B) an occupational therapist; |
---|
46 | 46 | | (C) a speech-language therapist; or |
---|
47 | 47 | | (D) a physical therapist; |
---|
48 | 48 | | (3) must require that the scope of services that may be |
---|
49 | 49 | | provided by telepractice includes those services that may be |
---|
50 | 50 | | provided through telemedicine medical services and telehealth |
---|
51 | 51 | | services and intensive behavioral intervention, applied behavioral |
---|
52 | 52 | | analysis, and speech-language evaluation and treatment; |
---|
53 | 53 | | (4) may not require a participant in the pilot project |
---|
54 | 54 | | to submit to an in-person evaluation by a service provider before |
---|
55 | 55 | | the participant receives services by telepractice from the |
---|
56 | 56 | | provider; |
---|
57 | 57 | | (5) may not require a person to reside in a rural area |
---|
58 | 58 | | or a medically underserved area as a condition of participating in |
---|
59 | 59 | | the pilot project; |
---|
60 | 60 | | (6) must require a participant to be physically |
---|
61 | 61 | | located at and receive services at a site at which a person may |
---|
62 | 62 | | receive telemedicine medical services or telehealth services or any |
---|
63 | 63 | | of the following sites: |
---|
64 | 64 | | (A) a primary or secondary school; |
---|
65 | 65 | | (B) an alternative education center; |
---|
66 | 66 | | (C) an education service center; |
---|
67 | 67 | | (D) a licensed child-care facility; |
---|
68 | 68 | | (E) a site where Head Start or Early Head Start |
---|
69 | 69 | | program services are provided; |
---|
70 | 70 | | (F) a site where early childhood intervention |
---|
71 | 71 | | services are provided; or |
---|
72 | 72 | | (G) the participant's home; |
---|
73 | 73 | | (7) must allow the following persons to be present at a |
---|
74 | 74 | | site where a participant receives services, to introduce the |
---|
75 | 75 | | participant to the service provider, and to perform any tasks |
---|
76 | 76 | | delegated by the service provider: |
---|
77 | 77 | | (A) a person authorized to be a site presenter at |
---|
78 | 78 | | a site where a person is receiving telemedicine medical services or |
---|
79 | 79 | | telehealth services; |
---|
80 | 80 | | (B) a certified elementary or secondary school |
---|
81 | 81 | | teacher; |
---|
82 | 82 | | (C) a licensed early childhood education and care |
---|
83 | 83 | | professional; |
---|
84 | 84 | | (D) a licensed specialist in school psychology; |
---|
85 | 85 | | (E) a certified educational diagnostician; |
---|
86 | 86 | | (F) an early childhood intervention services |
---|
87 | 87 | | provider who is not credentialed to provide qualified mental health |
---|
88 | 88 | | professional community services; |
---|
89 | 89 | | (G) a registered or licensed vocational nurse who |
---|
90 | 90 | | is not credentialed to provide qualified mental health professional |
---|
91 | 91 | | community services; |
---|
92 | 92 | | (H) a board certified behavior analyst; |
---|
93 | 93 | | (I) a speech-language therapist; |
---|
94 | 94 | | (J) an occupational therapist; |
---|
95 | 95 | | (K) a physical therapist; |
---|
96 | 96 | | (L) a person who conducts home visits under the |
---|
97 | 97 | | Maternal, Infant, and Early Childhood Home Visiting Program; or |
---|
98 | 98 | | (M) a promotora, as defined by Section 48.001, |
---|
99 | 99 | | Health and Safety Code; |
---|
100 | 100 | | (8) must require that a service provider maintain all |
---|
101 | 101 | | records relating to the service provider's telepractice |
---|
102 | 102 | | interaction with a participant and provide copies of those records |
---|
103 | 103 | | to the participant; and |
---|
104 | 104 | | (9) may not require a person present at a site where a |
---|
105 | 105 | | participant is receiving services to maintain records relating to a |
---|
106 | 106 | | service provider's telepractice interaction with the participant |
---|
107 | 107 | | that are created at the site where the service provider is located. |
---|
108 | 108 | | (d) Not later than December 1, 2022, the commission shall |
---|
109 | 109 | | submit a report to the legislature evaluating the pilot project. |
---|
110 | 110 | | The report required by this subsection may be submitted |
---|
111 | 111 | | electronically. |
---|
112 | 112 | | (e) This section expires September 1, 2023. |
---|
113 | 113 | | SECTION 2. Not later than December 1, 2015, the executive |
---|
114 | 114 | | commissioner of the Health and Human Services Commission shall |
---|
115 | 115 | | adopt the rules required by Section 531.02177, Government Code, as |
---|
116 | 116 | | added by this Act. |
---|
117 | 117 | | SECTION 3. Not later than January 1, 2016, the Health and |
---|
118 | 118 | | Human Services Commission shall ensure that the pilot project |
---|
119 | 119 | | required by Section 531.02177, Government Code, as added by this |
---|
120 | 120 | | Act, is in operation. |
---|
121 | 121 | | SECTION 4. This Act takes effect immediately if it receives |
---|
122 | 122 | | a vote of two-thirds of all the members elected to each house, as |
---|
123 | 123 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
124 | 124 | | Act does not receive the vote necessary for immediate effect, this |
---|
125 | 125 | | Act takes effect September 1, 2015. |
---|