Texas 2019 - 86th Regular

Texas House Bill HB4121 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	86R7135 EAS-F
2	2	By: Sheffield H.B. No. 4121
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the Texas Diabetes Council and the state plan for
8	8	diabetes and obesity treatment and education.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Section 103.001(2), Health and Safety Code, is
11	11	amended to read as follows:
12	12	(2) "Person with diabetes" means a person diagnosed
13	13	[by a physician] as having diabetes based on nationally recognized
14	14	standards.
15	15	SECTION 2. Sections 103.002(a), (b), and (c), Health and
16	16	Safety Code, are amended to read as follows:
17	17	(a) The Texas Diabetes Council is composed of 11 citizen
18	18	members appointed from the public and one representative each from
19	19	the department, the commission, the Employees Retirement System of
20	20	Texas, the Teacher Retirement System of Texas, and the Texas
21	21	Workforce Commission vocational rehabilitation services division
22	22	[Department of Assistive and Rehabilitative Services].
23	23	(b) The governor, with the advice and consent of the senate,
24	24	shall appoint the following citizen members:
25	25	(1) a licensed physician with a specialization in
26	26	treating diabetes;
27	27	(2) a registered nurse with a specialization in
28	28	diabetes education and training;
29	29	(3) a registered and licensed dietitian with a
30	30	specialization in the diabetes education field;
31	31	(4) a person with experience and training in public
32	32	health policy;
33	33	(5) three consumer members, with special
34	34	consideration given to persons active in the Texas affiliates of
35	35	the Juvenile Diabetes Research Foundation (JDRF), the American
36	36	Association of Diabetes Educators, or the American Diabetes
37	37	Association; and
38	38	(6) four members from the general public with
39	39	expertise or demonstrated commitment to diabetes issues.
40	40	(c) The commissioner, executive commissioner, executive
41	41	director of the Employees Retirement System of Texas, executive
42	42	director of the Teacher Retirement System of Texas, and the
43	43	director of the Texas Workforce Commission vocational
44	44	rehabilitation services division [commissioner of assistive and
45	45	rehabilitative services] shall appoint that agency's
46	46	representative to the council. Agency representatives shall be
47	47	nonvoting members of the council.
48	48	SECTION 3. Section 103.011, Health and Safety Code, is
49	49	amended to read as follows:
50	50	Sec. 103.011. ADVISORY COMMITTEES; WORK GROUPS. (a) The
51	51	council may establish advisory committees or work groups that the
52	52	council considers necessary and may determine the appropriate
53	53	membership for each committee or group.
54	54	(b) The council shall specify the purpose and duties of each
55	55	advisory committee or work group and shall specify any product the
56	56	committee is required to develop.
57	57	(c) Members of an advisory committee or work group serve at
58	58	the will of the council. The council may dissolve an advisory
59	59	committee or work group when necessary.
60	60	SECTION 4. Section 103.013(a) and (d), Health and Safety
61	61	Code, are amended to read as follows:
62	62	(a) The department, with the assistance of the council,
63	63	shall develop and implement a state plan for diabetes and obesity
64	64	treatment, education, and training to ensure that:
65	65	(1) this chapter is properly implemented by the
66	66	agencies affected;
67	67	(2) incentives are offered for private sources to
68	68	maintain present commitments and to assist in developing new
69	69	programs; and
70	70	(3) a procedure for review of individual complaints
71	71	about services provided under this chapter is implemented.
72	72	(d) The department [council] shall submit the state plan to
73	73	the state agency designated as the state health planning and
74	74	development agency not later than November 1 of each odd-numbered
75	75	year.
76	76	SECTION 5. Section 103.0131, Health and Safety Code, is
77	77	amended to read as follows:
78	78	Sec. 103.0131. ASSESSMENT OF PROGRAMS TO PREVENT AND TREAT
79	79	DIABETES. (a) In conjunction with developing each state plan
80	80	described in Section 103.013, the department, with the assistance
81	81	of the council, shall conduct a statewide assessment of existing
82	82	programs for the prevention of diabetes and treatment of
83	83	individuals with diabetes that are administered by the commission
84	84	or a health and human services agency, as defined by Section
85	85	531.001, Government Code. As part of the assessment, the department
86	86	[council] shall collect data regarding:
87	87	(1) the number of individuals served by the programs;
88	88	(2) the areas where services to prevent diabetes and
89	89	treat individuals with diabetes are unavailable; and
90	90	(3) the number of health care providers treating
91	91	individuals with diabetes under the programs.
92	92	(b) Not later than November 1 of each odd-numbered year, the
93	93	department [council] shall submit to the governor, the lieutenant
94	94	governor, and the legislature a written report containing the
95	95	findings of the assessment conducted under Subsection (a).
96	96	SECTION 6. Sections 103.014(a) and (c), Health and Safety
97	97	Code, are amended to read as follows:
98	98	(a) The council shall address contemporary issues affecting
99	99	health promotion services in the state, including:
100	100	(1) professional and patient education;
101	101	(2) evidence-based [successful] diabetes
102	102	self-management education strategies;
103	103	(3) evidence-based strategies to achieve the council's
104	104	mission [personnel preparation and continuing education];
105	105	(4) state expenditures for the prevention, detection,
106	106	management, and treatment of diabetes and obesity [chronic
107	107	diseases]; and
108	108	(5) [screening services; and
109	109	[(6)] public awareness of the specific risks and
110	110	benefits of diabetes and obesity prevention, detection,
111	111	management, and treatment.
112	112	(c) The council may establish priorities and make
113	113	recommendations for program expenditures that align with the
114	114	council's mission[:
115	115	[(1) compile and publish regional directories of
116	116	services for persons with diabetes;
117	117	[(2) design or adapt and publish a handbook in English
118	118	and Spanish relating to diet, exercise, and other self-care
119	119	management skills for persons with diabetes;
120	120	[(3) study the feasibility of a statewide hotline for
121	121	persons with diabetes; and
122	122	[(4) study the standards and structure of pilot
123	123	programs to provide diabetes education and training in this state].
124	124	SECTION 7. Sections 103.017(a) and (c), Health and Safety
125	125	Code, are amended to read as follows:
126	126	(a) The department, commission, and Texas Workforce
127	127	Commission vocational rehabilitation services division [Department
128	128	of Assistive and Rehabilitative Services] shall work with the
129	129	council to jointly develop, produce, and implement a general public
130	130	awareness strategy focusing on diabetes, its complications, and
131	131	techniques for achieving good management. Each agency shall pay for
132	132	the costs of producing and disseminating information on diabetes to
133	133	clients served by that agency.
134	134	(c) The department, commission, and Texas Workforce
135	135	Commission vocational rehabilitation services division [Department
136	136	of Assistive and Rehabilitative Services] may jointly develop and
137	137	implement a statewide plan for conducting regional training
138	138	sessions for public and private service providers, including
139	139	institutional health care providers, who have routine contact with
140	140	persons with diabetes.
141	141	SECTION 8. Section 103.0175, Health and Safety Code, is
142	142	amended to read as follows:
143	143	Sec. 103.0175. MATERIALS FOR SCHOOL-BASED AND
144	144	SCHOOL-LINKED CLINICS. The council, in consultation with the
145	145	department and the Texas Education Agency, shall develop and make
146	146	available materials that provide information about diabetes to be
147	147	distributed to students and the parents of students by health
148	148	clinics at public primary or secondary schools.
149	149	SECTION 9. This Act takes effect September 1, 2019.