Texas 2019 - 86th Regular

Texas House Bill HB719 Compare Versions

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

Old	New	Differences
1	1	86R4525 BEE-D
2	2	By: Thierry H.B. No. 719
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to medical education coursework and training for
8	8	physicians in cultural competence and implicit bias.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Subchapter F, Chapter 51, Education Code, is
11	11	amended by adding Section 51.310 to read as follows:
12	12	Sec. 51.310. CULTURAL COMPETENCE AND IMPLICIT BIAS MEDICAL
13	13	EDUCATION COURSEWORK. (a) In this section:
14	14	(1) "Coordinating board" means the Texas Higher
15	15	Education Coordinating Board.
16	16	(2) "Cultural competence" and "implicit bias" have the
17	17	meanings assigned by Section 153.017, Occupations Code.
18	18	(3) "Medical school" has the meaning assigned by
19	19	Section 61.501.
20	20	(b) The coordinating board by rule shall require a medical
21	21	school to offer coursework in cultural competence and implicit bias
22	22	approved by the Texas Medical Board under Section 153.017(b),
23	23	Occupations Code.
24	24	(c) A medical school may not award a student a doctor of
25	25	medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree
26	26	unless the student has successfully completed the number of hours
27	27	of coursework in cultural competence and implicit bias required by
28	28	coordinating board rule.
29	29	SECTION 2. Subchapter A, Chapter 153, Occupations Code, is
30	30	amended by adding Section 153.017 to read as follows:
31	31	Sec. 153.017. COURSEWORK AND TRAINING IN CULTURAL
32	32	COMPETENCE AND IMPLICIT BIAS. (a) In this section:
33	33	(1) "Cultural competence" means, with respect to
34	34	health care, the ability to address the health issues of
35	35	individuals from diverse backgrounds effectively by applying
36	36	knowledge, empathy, and insight into the views on health that those
37	37	backgrounds present.
38	38	(2) "Implicit bias" means:
39	39	(A) bias in judgment or behavior that results
40	40	from subtle cognitive processes, including implicit attitudes and
41	41	stereotypes, that often operate at a level below conscious
42	42	awareness and without intentional control; or
43	43	(B) implicit attitudes and stereotypes that
44	44	result in beliefs or simple associations that a person makes
45	45	between an object and its evaluation that are automatically
46	46	activated by the mere presence, actual or symbolic, of the attitude
47	47	object.
48	48	(b) The board shall approve coursework and training in
49	49	cultural competence and implicit bias for purposes of Section
50	50	156.0011 of this code and Section 51.310(c), Education Code.
51	51	(c) Coursework and training approved under Subsection (b)
52	52	must be:
53	53	(1) designed to address medical decisions and
54	54	treatment relating to a person's race, ethnicity, nationality,
55	55	language, sex, gender, physical and mental ability, and
56	56	socioeconomic status; and
57	57	(2) developed in consultation with:
58	58	(A) the Texas Higher Education Coordinating
59	59	Board; and
60	60	(B) the Association of American Medical Colleges
61	61	or another nationally recognized organization that reviews medical
62	62	school curricula.
63	63	SECTION 3. Subchapter A, Chapter 156, Occupations Code, is
64	64	amended by adding Section 156.0011 to read as follows:
65	65	Sec. 156.0011. REQUIRED COURSEWORK OR TRAINING IN CULTURAL
66	66	COMPETENCE AND IMPLICIT BIAS; WAIVER. (a) In this section,
67	67	"cultural competence" and "implicit bias" have the meanings
68	68	assigned by Section 153.017.
69	69	(b) Except as provided by Subsection (d), the board may not
70	70	issue a registration permit to or renew the registration permit of a
71	71	person unless the person has successfully completed:
72	72	(1) coursework in cultural competence and implicit
73	73	bias as a student in a doctor of medicine or doctor of osteopathic
74	74	medicine degree program as required by Section 51.310, Education
75	75	Code; or
76	76	(2) training in cultural competence and implicit bias
77	77	approved by the board under Section 153.017(b).
78	78	(c) A person who satisfies the requirements of Subsection
79	79	(b) is not required to complete additional coursework or training
80	80	described by that subsection for the subsequent renewal of the
81	81	person's registration permit.
82	82	(d) The board by rule shall establish the minimum number of
83	83	hours of training necessary to satisfy Subsection (b)(2). A
84	84	license holder may complete the training as part of the hours of
85	85	continuing medical education completed to comply with Section
86	86	156.051(a)(2).
87	87	(e) The board may waive the requirements of this section for
88	88	a person who demonstrates in a manner prescribed by the board that
89	89	the person has successfully completed coursework or training that
90	90	is substantially equivalent to that approved by the board under
91	91	Section 153.017(b).
92	92	SECTION 4. Not later than December 1, 2019, the Texas Higher
93	93	Education Coordinating Board and the Texas Medical Board shall
94	94	adopt the rules necessary to implement this Act.
95	95	SECTION 5. (a) Section 51.310(c), Education Code, as added
96	96	by this Act, applies only to a student who enrolls in a doctor of
97	97	medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree
98	98	program on or after January 1, 2020.
99	99	(b) Section 156.0011(b), Occupations Code, as added by this
100	100	Act, applies only to a registration permit issued or renewed on or
101	101	after January 1, 2020.
102	102	SECTION 6. This Act takes effect September 1, 2019.