86R7135 EAS-F
By: Sheffield H.B. No. 4121
A BILL TO BE ENTITLED
AN ACT
relating to the Texas Diabetes Council and the state plan for
diabetes and obesity treatment and education.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 103.001(2), Health and Safety Code, is
amended to read as follows:
(2) "Person with diabetes" means a person diagnosed
[by a physician] as having diabetes based on nationally recognized
standards.
SECTION 2. Sections 103.002(a), (b), and (c), Health and
Safety Code, are amended to read as follows:
(a) The Texas Diabetes Council is composed of 11 citizen
members appointed from the public and one representative each from
the department, the commission, the Employees Retirement System of
Texas, the Teacher Retirement System of Texas, and the Texas
Workforce Commission vocational rehabilitation services division
[Department of Assistive and Rehabilitative Services].
(b) The governor, with the advice and consent of the senate,
shall appoint the following citizen members:
(1) a licensed physician with a specialization in
treating diabetes;
(2) a registered nurse with a specialization in
diabetes education and training;
(3) a registered and licensed dietitian with a
specialization in the diabetes education field;
(4) a person with experience and training in public
health policy;
(5) three consumer members, with special
consideration given to persons active in the Texas affiliates of
the Juvenile Diabetes Research Foundation (JDRF), the American
Association of Diabetes Educators, or the American Diabetes
Association; and
(6) four members from the general public with
expertise or demonstrated commitment to diabetes issues.
(c) The commissioner, executive commissioner, executive
director of the Employees Retirement System of Texas, executive
director of the Teacher Retirement System of Texas, and the
director of the Texas Workforce Commission vocational
rehabilitation services division [commissioner of assistive and
rehabilitative services] shall appoint that agency's
representative to the council. Agency representatives shall be
nonvoting members of the council.
SECTION 3. Section 103.011, Health and Safety Code, is
amended to read as follows:
Sec. 103.011. ADVISORY COMMITTEES; WORK GROUPS. (a) The
council may establish advisory committees or work groups that the
council considers necessary and may determine the appropriate
membership for each committee or group.
(b) The council shall specify the purpose and duties of each
advisory committee or work group and shall specify any product the
committee is required to develop.
(c) Members of an advisory committee or work group serve at
the will of the council. The council may dissolve an advisory
committee or work group when necessary.
SECTION 4. Section 103.013(a) and (d), Health and Safety
Code, are amended to read as follows:
(a) The department, with the assistance of the council,
shall develop and implement a state plan for diabetes and obesity
treatment, education, and training to ensure that:
(1) this chapter is properly implemented by the
agencies affected;
(2) incentives are offered for private sources to
maintain present commitments and to assist in developing new
programs; and
(3) a procedure for review of individual complaints
about services provided under this chapter is implemented.
(d) The department [council] shall submit the state plan to
the state agency designated as the state health planning and
development agency not later than November 1 of each odd-numbered
year.
SECTION 5. Section 103.0131, Health and Safety Code, is
amended to read as follows:
Sec. 103.0131. ASSESSMENT OF PROGRAMS TO PREVENT AND TREAT
DIABETES. (a) In conjunction with developing each state plan
described in Section 103.013, the department, with the assistance
of the council, shall conduct a statewide assessment of existing
programs for the prevention of diabetes and treatment of
individuals with diabetes that are administered by the commission
or a health and human services agency, as defined by Section
531.001, Government Code. As part of the assessment, the department
[council] shall collect data regarding:
(1) the number of individuals served by the programs;
(2) the areas where services to prevent diabetes and
treat individuals with diabetes are unavailable; and
(3) the number of health care providers treating
individuals with diabetes under the programs.
(b) Not later than November 1 of each odd-numbered year, the
department [council] shall submit to the governor, the lieutenant
governor, and the legislature a written report containing the
findings of the assessment conducted under Subsection (a).
SECTION 6. Sections 103.014(a) and (c), Health and Safety
Code, are amended to read as follows:
(a) The council shall address contemporary issues affecting
health promotion services in the state, including:
(1) professional and patient education;
(2) evidence-based [successful] diabetes
self-management education strategies;
(3) evidence-based strategies to achieve the council's
mission [personnel preparation and continuing education];
(4) state expenditures for the prevention, detection,
management, and treatment of diabetes and obesity [chronic
diseases]; and
(5) [screening services; and
[(6)] public awareness of the specific risks and
benefits of diabetes and obesity prevention, detection,
management, and treatment.
(c) The council may establish priorities and make
recommendations for program expenditures that align with the
council's mission[:
[(1) compile and publish regional directories of
services for persons with diabetes;
[(2) design or adapt and publish a handbook in English
and Spanish relating to diet, exercise, and other self-care
management skills for persons with diabetes;
[(3) study the feasibility of a statewide hotline for
persons with diabetes; and
[(4) study the standards and structure of pilot
programs to provide diabetes education and training in this state].
SECTION 7. Sections 103.017(a) and (c), Health and Safety
Code, are amended to read as follows:
(a) The department, commission, and Texas Workforce
Commission vocational rehabilitation services division [Department
of Assistive and Rehabilitative Services] shall work with the
council to jointly develop, produce, and implement a general public
awareness strategy focusing on diabetes, its complications, and
techniques for achieving good management. Each agency shall pay for
the costs of producing and disseminating information on diabetes to
clients served by that agency.
(c) The department, commission, and Texas Workforce
Commission vocational rehabilitation services division [Department
of Assistive and Rehabilitative Services] may jointly develop and
implement a statewide plan for conducting regional training
sessions for public and private service providers, including
institutional health care providers, who have routine contact with
persons with diabetes.
SECTION 8. Section 103.0175, Health and Safety Code, is
amended to read as follows:
Sec. 103.0175. MATERIALS FOR SCHOOL-BASED AND
SCHOOL-LINKED CLINICS. The council, in consultation with the
department and the Texas Education Agency, shall develop and make
available materials that provide information about diabetes to be
distributed to students and the parents of students by health
clinics at public primary or secondary schools.
SECTION 9. This Act takes effect September 1, 2019.