By: Lucio, et al. S.B. No. 1119 (Guerra) A BILL TO BE ENTITLED AN ACT relating to the establishment of a border public health initiative by the Department of State Health Services. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle C, Title 2, Health and Safety Code, is amended by adding Chapter 65 to read as follows: CHAPTER 65. BORDER PUBLIC HEALTH INITIATIVE Sec. 65.0001. DEFINITIONS. In this chapter: (1) "Border county" means a county adjacent to this state's international border with Mexico. (2) "Promotora" or "community health worker" has the meaning assigned by Section 48.001. Sec. 65.0002. BORDER PUBLIC HEALTH INITIATIVE. (a) The department shall develop an initiative to reduce the adverse health impacts of diabetes, hypertension, and obesity for adults and children in border counties. The initiative must promote: (1) educational resources designed to prevent those conditions; (2) screenings of persons at risk for those conditions; and (3) referrals to and treatment by health care providers for those conditions. (b) In developing the border public health initiative, the department may consult and collaborate with: (1) other health and human services agencies; (2) other appropriate state or federal agencies; (3) health science centers and medical schools; and (4) public and private health care providers and hospitals. Sec. 65.0003. OUTREACH CAMPAIGNS. To implement the border public health initiative described by Section 65.0002, the department shall conduct bilingual, culturally appropriate outreach campaigns in consultation and collaboration with appropriate individuals and entities that may include: (1) promotoras and community health workers; (2) academic centers located in border counties; (3) nonprofit organizations; (4) public schools; (5) public and private health care providers and hospitals; (6) worksite wellness programs; (7) local business and health care providers that provide early detection of prediabetes, prehypertension, and obesity; and (8) other local entities, as the department determines appropriate. Sec. 65.0004. REPORT. Not later than January 1, 2023, the department shall prepare and electronically submit to the lieutenant governor, the speaker of the house of representatives, and the legislature a report describing: (1) health outcomes and health care savings resulting from prevention, screenings, and treatment of chronic diseases under the border public health initiative; and (2) other relevant findings, as determined by the department, resulting from the border public health initiative. Sec. 65.0005. EXPIRATION. This chapter expires December 31, 2031. SECTION 2. The Department of State Health Services is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the department may, but is not required to, implement a provision of this Act using other appropriations available for that purpose. SECTION 3. This Act takes effect September 1, 2019.