1 | 1 | | H.B. No. 1488 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | AN ACT |
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5 | 5 | | relating to sickle cell disease health care improvement and the |
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6 | 6 | | sickle cell task force. |
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7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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8 | 8 | | SECTION 1. Subchapter A, Chapter 533, Government Code, is |
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9 | 9 | | amended by adding Section 533.0091 to read as follows: |
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10 | 10 | | Sec. 533.0091. SICKLE CELL DISEASE TREATMENT. To the |
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11 | 11 | | extent possible, the commission shall: |
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12 | 12 | | (1) in collaboration with the sickle cell task force |
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13 | 13 | | established under Chapter 52, Health and Safety Code: |
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14 | 14 | | (A) support initiatives to assist managed care |
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15 | 15 | | plans in promoting timely, evidence-informed health care services |
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16 | 16 | | to plan enrollees diagnosed with sickle cell disease to ensure the |
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17 | 17 | | services reflect national clinical practice guidelines and |
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18 | 18 | | protocols for sickle cell disease treatment and meet medical |
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19 | 19 | | necessity criteria; and |
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20 | 20 | | (B) address sickle cell disease education for |
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21 | 21 | | Medicaid providers, including emergency department providers, by |
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22 | 22 | | collaborating with medical specialty organizations in this state, |
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23 | 23 | | state agencies, and health-related institutions to promote |
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24 | 24 | | existing or new continuing education courses or facilitate |
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25 | 25 | | development of any necessary new courses to improve the diagnosis, |
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26 | 26 | | treatment, and management of sickle cell disease and the personal |
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27 | 27 | | treatment of patients with sickle cell disease; and |
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28 | 28 | | (2) use the commission's existing data to identify |
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29 | 29 | | opportunities for improving health outcomes of recipients |
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30 | 30 | | diagnosed with sickle cell disease by: |
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31 | 31 | | (A) reducing hospital admissions and |
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32 | 32 | | readmissions; and |
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33 | 33 | | (B) connecting those recipients to a sickle cell |
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34 | 34 | | disease health home or sickle cell disease expert. |
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35 | 35 | | SECTION 2. Sections 52.0003 and 52.0007, Health and Safety |
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36 | 36 | | Code, are amended to read as follows: |
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37 | 37 | | Sec. 52.0003. COMPOSITION OF TASK FORCE. The task force is |
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38 | 38 | | composed of the following members appointed by the executive |
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39 | 39 | | commissioner: |
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40 | 40 | | (1) two members from community-based organizations |
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41 | 41 | | with experience addressing the needs of individuals with sickle |
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42 | 42 | | cell disease; |
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43 | 43 | | (2) two physicians specializing in hematology; |
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44 | 44 | | (3) three [two] members of the public, one of whom has |
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45 | 45 | | sickle cell disease or sickle cell trait and two [each] of whom |
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46 | 46 | | either have [has] sickle cell disease or are [is] a parent of a |
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47 | 47 | | person with sickle cell disease or sickle cell trait; [and] |
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48 | 48 | | (4) one representative of a health-related |
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49 | 49 | | institution; |
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50 | 50 | | (5) one representative of the Texas Education Agency; |
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51 | 51 | | (6) one representative of the commission; |
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52 | 52 | | (7) one physician with experience addressing the needs |
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53 | 53 | | of individuals with sickle cell disease or sickle cell trait; |
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54 | 54 | | (8) one researcher from a public health-related or |
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55 | 55 | | academic institution with experience addressing sickle cell |
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56 | 56 | | disease and sickle cell trait; and |
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57 | 57 | | (9) one health care professional with experience |
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58 | 58 | | addressing the needs of individuals with sickle cell disease or |
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59 | 59 | | sickle cell trait. |
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60 | 60 | | Sec. 52.0007. ANNUAL REPORT. (a) Not later than December 1 |
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61 | 61 | | of each year, the task force shall prepare and submit to the |
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62 | 62 | | governor and the legislature an annual written report that |
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63 | 63 | | summarizes the task force's work and includes any recommended |
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64 | 64 | | actions or policy changes endorsed by the task force. |
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65 | 65 | | (b) The task force shall, in collaboration with the |
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66 | 66 | | commission, include in the task force's annual report |
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67 | 67 | | recommendations for improving sickle cell disease education for |
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68 | 68 | | health care providers. |
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69 | 69 | | SECTION 3. Chapter 52, Health and Safety Code, is amended by |
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70 | 70 | | adding Section 52.0008 to read as follows: |
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71 | 71 | | Sec. 52.0008. EXPIRATION. The task force is abolished and |
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72 | 72 | | this chapter expires August 31, 2035. |
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73 | 73 | | SECTION 4. Subtitle B, Title 2, Health and Safety Code, is |
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74 | 74 | | amended by adding Chapter 52A to read as follows: |
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75 | 75 | | CHAPTER 52A. SICKLE CELL DISEASE CARE EDUCATION AND TREATMENT |
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76 | 76 | | Sec. 52A.001. DEFINITION. In this chapter, "sickle cell |
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77 | 77 | | task force" means the sickle cell task force established under |
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78 | 78 | | Chapter 52. |
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79 | 79 | | Sec. 52A.002. EMERGENCY AND PRIMARY CARE MEDICINE GRADUATE |
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80 | 80 | | MEDICAL EDUCATION PROGRAM CURRICULUM. (a) In this section, |
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81 | 81 | | "graduate medical education program" and "medical school" have the |
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82 | 82 | | meanings assigned by Section 58A.001, Education Code. |
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83 | 83 | | (b) A medical school or graduate medical education program |
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84 | 84 | | in this state that offers an emergency medicine, family medicine, |
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85 | 85 | | internal medicine, obstetrics, or pediatrics residency program |
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86 | 86 | | shall examine and, to the extent possible, incorporate in the |
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87 | 87 | | curriculum requirements for the program education focused on sickle |
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88 | 88 | | cell disease and sickle cell trait. The medical school or graduate |
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89 | 89 | | medical education program may enter into agreements as necessary |
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90 | 90 | | for the purposes of this section. |
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91 | 91 | | Sec. 52A.003. INFORMATION FOR PUBLIC SCHOOL DISTRICT |
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92 | 92 | | PERSONNEL. (a) To the extent possible, the Texas Education Agency |
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93 | 93 | | in collaboration with sickle cell disease community-based |
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94 | 94 | | organizations shall provide information on sickle cell disease and |
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95 | 95 | | sickle cell trait to public school districts and district staff, |
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96 | 96 | | including school nurses, teachers, and coaches. |
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97 | 97 | | (b) The commission in collaboration with the sickle cell |
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98 | 98 | | task force shall explore methods for improving sickle cell disease |
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99 | 99 | | education and awareness within the public school system and provide |
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100 | 100 | | recommendations to the Texas Education Agency on the improvement |
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101 | 101 | | methods. |
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102 | 102 | | SECTION 5. As soon as practicable after the effective date |
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103 | 103 | | of this Act, the executive commissioner of the Health and Human |
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104 | 104 | | Services Commission shall appoint the new members of the sickle |
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105 | 105 | | cell task force as required by Section 52.0003, Health and Safety |
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106 | 106 | | Code, as amended by this Act. |
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107 | 107 | | SECTION 6. Section 52A.002, Health and Safety Code, as |
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108 | 108 | | added by this Act, applies to residents entering an emergency |
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109 | 109 | | medicine, family medicine, internal medicine, obstetrics, or |
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110 | 110 | | pediatrics residency program at a medical school or graduate |
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111 | 111 | | medical education program in this state on or after January 1, 2024. |
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112 | 112 | | SECTION 7. This Act takes effect September 1, 2023. |
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113 | 113 | | ______________________________ ______________________________ |
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114 | 114 | | President of the Senate Speaker of the House |
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115 | 115 | | I certify that H.B. No. 1488 was passed by the House on April |
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116 | 116 | | 11, 2023, by the following vote: Yeas 107, Nays 33, 1 present, not |
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117 | 117 | | voting. |
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118 | 118 | | ______________________________ |
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119 | 119 | | Chief Clerk of the House |
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120 | 120 | | I certify that H.B. No. 1488 was passed by the Senate on May |
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121 | 121 | | 17, 2023, by the following vote: Yeas 27, Nays 4. |
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122 | 122 | | ______________________________ |
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123 | 123 | | Secretary of the Senate |
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124 | 124 | | APPROVED: _____________________ |
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125 | 125 | | Date |
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126 | 126 | | _____________________ |
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127 | 127 | | Governor |
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