Texas 2023 - 88th Regular

Texas House Bill HB1165 Compare Versions

Version 1 (Old)

Version 2 (New)

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1	1	88R5788 BEE-D
2	2	By: Thierry H.B. No. 1165
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to medical education coursework in cultural competence and
8	8	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 IN CULTURAL COMPETENCE AND
32	32	IMPLICIT BIAS. (a) In this section:
33	33	(1) "Cultural competence" means, with respect to
34	34	health care, the ability to effectively address the health issues
35	35	of individuals from diverse backgrounds by applying knowledge,
36	36	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 by rule shall approve coursework in cultural
49	49	competence and implicit bias for purposes of Section 51.310,
50	50	Education Code.
51	51	(c) Coursework approved under Subsection (b) must be:
52	52	(1) designed to address medical decisions and
53	53	treatment relating to a person's race, ethnicity, nationality,
54	54	language, sex, gender, physical and mental ability, and
55	55	socioeconomic status; and
56	56	(2) developed in consultation with:
57	57	(A) the Texas Higher Education Coordinating
58	58	Board; and
59	59	(B) the Association of American Medical Colleges
60	60	or another nationally recognized organization that reviews medical
61	61	school curricula.
62	62	SECTION 3. Not later than December 1, 2023, the Texas Higher
63	63	Education Coordinating Board and the Texas Medical Board shall
64	64	adopt the rules necessary to implement this Act.
65	65	SECTION 4. Section 51.310(c), Education Code, as added by
66	66	this Act, applies only to a student who enrolls in a doctor of
67	67	medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree
68	68	program on or after January 1, 2024.
69	69	SECTION 5. This Act takes effect September 1, 2023.