| 1 | 1 | | By: Longoria H.B. No. 4529 |
|---|
| 2 | 2 | | |
|---|
| 3 | 3 | | |
|---|
| 4 | 4 | | A BILL TO BE ENTITLED |
|---|
| 5 | 5 | | AN ACT |
|---|
| 6 | 6 | | relating to the provision of home dialysis care by a dialysis |
|---|
| 7 | 7 | | technician. |
|---|
| 8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|---|
| 9 | 9 | | SECTION 1. Subchapter C, Chapter 251, Health and Safety |
|---|
| 10 | 10 | | Code, is amended by adding Section 251.033 to read as follows: |
|---|
| 11 | 11 | | Sec. 251.033. PROVISION OF HOME DIALYSIS CARE. (a) A |
|---|
| 12 | 12 | | dialysis technician may provide home dialysis care, including |
|---|
| 13 | 13 | | hemodialysis, only if: |
|---|
| 14 | 14 | | (1) the care is provided under the direct supervision |
|---|
| 15 | 15 | | of a registered nurse who is employed by the same entity that |
|---|
| 16 | 16 | | employs the dialysis technician; and |
|---|
| 17 | 17 | | (2) the dialysis technician has: |
|---|
| 18 | 18 | | (A) complied with all executive commissioner |
|---|
| 19 | 19 | | rules on training and competency for dialysis technicians; and |
|---|
| 20 | 20 | | (B) successfully completed orientation and |
|---|
| 21 | 21 | | skills education requirements equivalent to the requirements for a |
|---|
| 22 | 22 | | registered or licensed vocational nurse who provides home dialysis |
|---|
| 23 | 23 | | care. |
|---|
| 24 | 24 | | (b) For purposes of this section, "direct supervision" |
|---|
| 25 | 25 | | means supervision by a registered nurse who is physically present |
|---|
| 26 | 26 | | on the premises, but not necessarily present in the room where the |
|---|
| 27 | 27 | | dialysis services are provided, at which a dialysis technician |
|---|
| 28 | 28 | | provides home dialysis care and is immediately available to respond |
|---|
| 29 | 29 | | to patient needs. |
|---|
| 30 | 30 | | SECTION 2. As soon as practicable after the effective date |
|---|
| 31 | 31 | | of this Act, the executive commissioner of the Health and Human |
|---|
| 32 | 32 | | Services Commission shall adopt rules necessary to implement |
|---|
| 33 | 33 | | Section 251.033, Health and Safety Code, as added by this Act. |
|---|
| 34 | 34 | | SECTION 3. This Act takes effect September 1, 2021. |
|---|