41 | 44 | | (c) Chapter 131, Human Resources Code, is repealed. |
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42 | 45 | | SECTION 2. Section 43.003(a)(2), Health and Safety Code, is |
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43 | 46 | | amended to read as follows: |
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44 | 47 | | (2) "Oral health services" means[: |
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45 | 48 | | [(A) preventive or treatment services affecting |
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46 | 49 | | the structures of the mouth, including the hard and soft tissues |
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47 | 50 | | such as teeth, jaws, gums, vestibule, tongue, cheeks, lips, floor |
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48 | 51 | | and roof of the mouth, and adjacent masticatory structures; and |
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49 | 52 | | [(B)] oral health education and promotion |
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50 | 53 | | activities. |
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51 | 54 | | SECTION 3. Section 43.004(d), Health and Safety Code, is |
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52 | 55 | | amended to read as follows: |
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53 | 56 | | (d) The department may establish an oral health services |
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54 | 57 | | program that may consist of all or any combination of the following: |
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55 | 58 | | (1) [treatment services for eligible individuals, |
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56 | 59 | | including: |
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57 | 60 | | [(A) emergency care for relief of pain and |
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58 | 61 | | infection, including extractions and basic restorative services to |
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59 | 62 | | prevent premature loss of teeth; |
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60 | 63 | | [(B) periodontal therapy for the prevention and |
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61 | 64 | | treatment of periodontal disease; |
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62 | 65 | | [(C) endodontics to maintain aesthetics and |
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63 | 66 | | occlusion; |
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64 | 67 | | [(D) orthodontic care only in cases of severely |
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65 | 68 | | handicapping malocclusion; and |
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66 | 69 | | [(E) oral surgery and prosthetics in cases in |
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67 | 70 | | which health is impaired; |
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68 | 71 | | [(2)] a program of oral disease prevention, including: |
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69 | 72 | | (A) the fluoridation of community water |
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70 | 73 | | supplies; |
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71 | 74 | | (B) fluoride mouth rinse programs in schools; and |
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72 | 75 | | (C) the promotion and implementation of sealants |
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73 | 76 | | programs; [and |
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74 | 77 | | [(D) the development of appropriate means for |
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75 | 78 | | prevention of oral disease, including the continued use of |
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76 | 79 | | recognized methods of primary, secondary, and tertiary |
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77 | 80 | | prevention;] |
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78 | 81 | | (2) [(3)] oral health education and promotion, |
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79 | 82 | | including: |
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80 | 83 | | (A) public health education to promote the |
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81 | 84 | | prevention of oral disease through self-help methods, including the |
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82 | 85 | | initiation and expansion of preschool, school age, and adult |
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83 | 86 | | education programs; |
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84 | 87 | | (B) organized continuing health education |
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85 | 88 | | training programs for health care providers; and |
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86 | 89 | | (C) preventive health education information for |
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87 | 90 | | the public; and |
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88 | 91 | | (3) [(4)] facilitation of access to oral health |
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89 | 92 | | services, including: |
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90 | 93 | | (A) the improvement of the existing oral health |
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91 | 94 | | services delivery system for the provision of services to |
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92 | 95 | | low-income residents; |
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93 | 96 | | (B) outreach activities to inform the public of |
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94 | 97 | | the type and availability of oral health services to increase the |
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95 | 98 | | accessibility of oral health care for low-income residents; and |
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96 | 99 | | (C) assistance and cooperation in promoting |
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97 | 100 | | better distribution of dentists and other oral health professionals |
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98 | 101 | | throughout the state. |
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99 | 102 | | SECTION 4. Section 101.008, Health and Safety Code, is |
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100 | 103 | | amended to read as follows: |
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101 | 104 | | Sec. 101.008. DUTIES OF DEPARTMENT. The department shall: |
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102 | 105 | | (1) provide administrative assistance, services, and |
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103 | 106 | | materials to the council; |
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104 | 107 | | (2) accept, deposit, and disburse funds made available |
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105 | 108 | | to the council at the direction of the executive commissioner; |
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106 | 109 | | (3) accept gifts and grants on behalf of the council |
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107 | 110 | | from any public or private entity; and |
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108 | 111 | | (4) [maintain a population data base of persons with |
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109 | 112 | | Alzheimer's disease and related disorders in this state; and |
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110 | 113 | | [(5)] apply for and receive on behalf of the council |
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111 | 114 | | any appropriations, gifts, or other funds from the state or federal |
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112 | 115 | | government or any other public or private entity, subject to |
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113 | 116 | | limitations and conditions prescribed by legislative |
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114 | 117 | | appropriation. |
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115 | 118 | | SECTION 5. Section 146.005, Health and Safety Code, is |
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116 | 119 | | amended to read as follows: |
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117 | 120 | | Sec. 146.005. FEES. The executive commissioner by rule |
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118 | 121 | | shall set license [and registration fees] and license [and |
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119 | 122 | | registration] renewal fees in amounts necessary [for the |
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120 | 123 | | department] to administer this chapter. |
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121 | 124 | | SECTION 6. Section 146.021(c), Health and Safety Code, is |
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122 | 125 | | amended to read as follows: |
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123 | 126 | | (c) If the license [or registration] holder cannot be |
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124 | 127 | | located for a notice required under this section, the department |
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125 | 128 | | shall provide notice by posting a copy of the order on the front |
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126 | 129 | | door of the premises of the license holder [or the premises where |
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127 | 130 | | the registration holder is employed]. |
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128 | 131 | | SECTION 7. Section 161.0074(c), Health and Safety Code, is |
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129 | 132 | | amended to read as follows: |
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130 | 133 | | (c) The report must: |
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131 | 134 | | (1) include the current immunization rates by |
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132 | 135 | | geographic region of the state, where available; |
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133 | 136 | | (2) focus on the geographic regions of the state with |
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134 | 137 | | immunization rates below the state average for preschool children; |
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135 | 138 | | (3) describe the approaches identified to increase |
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136 | 139 | | immunization rates in underserved areas and the estimated cost for |
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137 | 140 | | each; |
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138 | 141 | | (4) identify changes to department procedures needed |
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139 | 142 | | to increase immunization rates; |
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140 | 143 | | (5) identify the services provided under and |
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141 | 144 | | provisions of contracts entered into by the department to increase |
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142 | 145 | | immunization rates in underserved areas; |
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143 | 146 | | (6) identify performance measures used in contracts |
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144 | 147 | | described by Subdivision (5); |
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145 | 148 | | (7) include the number and type of exemptions used in |
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146 | 149 | | the past year; |
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147 | 150 | | (8) include the number of complaints received by the |
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148 | 151 | | department related to the department's failure to comply with |
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149 | 152 | | requests for exclusion of individuals from the registry; |
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150 | 153 | | (9) identify all reported incidents of discrimination |
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151 | 154 | | for requesting exclusion from the registry or for using an |
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152 | 155 | | exemption for a required immunization; and |
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153 | 156 | | (10) [include department recommendations about the |
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154 | 157 | | best way to use, and communicate with, local registries in the |
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155 | 158 | | state; and |
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156 | 159 | | [(11)] include ways to increase provider |
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157 | 160 | | participation in the registry. |
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158 | 161 | | SECTION 8. Section 161.352(a), Health and Safety Code, is |
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159 | 162 | | amended to read as follows: |
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160 | 163 | | (a) Each manufacturer shall file with the department an |
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161 | 164 | | annual report for each cigarette or tobacco product distributed in |
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162 | 165 | | this state, stating[: |
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163 | 166 | | [(1)] the identity of each ingredient in the cigarette |
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164 | 167 | | or tobacco product, listed in descending order according to weight, |
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165 | 168 | | measure, or numerical count, other than: |
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166 | 169 | | (1) [(A)] tobacco; |
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167 | 170 | | (2) [(B)] water; or |
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168 | 171 | | (3) [(C)] a reconstituted tobacco sheet made wholly |
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169 | 172 | | from tobacco[; and |
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170 | 173 | | [(2) a nicotine yield rating for the cigarette or |
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171 | 174 | | tobacco product established under Section 161.353]. |
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172 | 175 | | SECTION 9. Sections 431.4031(a) and (b), Health and Safety |
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173 | 176 | | Code, are amended to read as follows: |
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174 | 177 | | (a) A wholesale distributor that distributes prescription |
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175 | 178 | | drugs that are medical gases or a wholesale distributor that is a |
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176 | 179 | | manufacturer or a third-party logistics provider on behalf of a |
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177 | 180 | | manufacturer is exempt from Sections 431.404(a)(5) and (6), (b), |
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178 | 181 | | and (c), 431.4045(2), 431.405, and 431.407[, and 431.408]. |
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179 | 182 | | (b) A state agency or a political subdivision of this state |
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180 | 183 | | that distributes prescription drugs using federal or state funding |
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181 | 184 | | to nonprofit health care facilities or local mental health or |
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182 | 185 | | mental retardation authorities for distribution to a pharmacy, |
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183 | 186 | | practitioner, or patient is exempt from Sections 431.405(b), |
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184 | 187 | | 431.407, [431.408,] 431.412, and 431.413. |
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185 | 188 | | SECTION 10. On the effective date of this Act: |
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186 | 189 | | (1) the following are abolished: |
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187 | 190 | | (A) the children's outreach heart program; |
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188 | 191 | | (B) the oral health improvement services |
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189 | 192 | | program; |
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190 | 193 | | (C) the arthritis control and prevention |
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191 | 194 | | program; |
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192 | 195 | | (D) the health care information technology |
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193 | 196 | | advisory committee; |
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194 | 197 | | (E) the diabetes intervention pilot program; |
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195 | 198 | | (F) the prescription drug donation pilot |
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196 | 199 | | program; and |
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197 | 200 | | (G) the Health and Human Services Office of |
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198 | 201 | | Community Transportation Services; |
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199 | 202 | | (2) any remaining obligations, rights, contracts, |
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200 | 203 | | records, real and personal property, funds, appropriations, and |
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201 | 204 | | money of the children's outreach heart program, the arthritis |
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202 | 205 | | control and prevention program, the oral health improvement |
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203 | 206 | | services program, the diabetes intervention pilot program, and the |
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204 | 207 | | prescription drug donation pilot program are transferred to the |
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205 | 208 | | Department of State Health Services; |
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206 | 209 | | (3) any remaining obligations, rights, contracts, |
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207 | 210 | | records, real and personal property, funds, appropriations, and |
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208 | 211 | | money of the health care information technology advisory committee |
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209 | 212 | | are transferred to the statewide health coordinating council under |
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210 | 213 | | Subchapter B, Chapter 104, Health and Safety Code; and |
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211 | 214 | | (4) any remaining obligations, rights, contracts, |
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212 | 215 | | records, real and personal property, funds, appropriations, and |
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213 | 216 | | money of the Health and Human Services Office of Community |
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214 | 217 | | Transportation Services are transferred to the Health and Human |
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215 | 218 | | Services Commission. |
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216 | 219 | | SECTION 11. This Act takes effect September 1, 2021. |
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