89R5368 JTZ-F By: Jones of Dallas H.B. No. 1737 A BILL TO BE ENTITLED AN ACT relating to HIV and AIDS tests. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. The heading to Subchapter D, Chapter 85, Health and Safety Code, is amended to read as follows: SUBCHAPTER D. HIV TESTING, TESTING PROGRAMS, AND COUNSELING SECTION 2. Subchapter D, Chapter 85, Health and Safety Code, is amended by adding Section 85.0815 to read as follows: Sec. 85.0815. OPT-OUT HIV TESTING IN MEDICAL SCREENINGS FOR SEXUALLY TRANSMITTED DISEASES. (a) A health care provider who collects a sample of an individual's blood as part of a medical screening for a sexually transmitted disease shall submit the sample for an HIV diagnostic test, regardless of whether an HIV test is part of a primary diagnosis, unless the individual opts out of the HIV test. (b) Before collecting a sample of an individual's blood as part of a medical screening for a sexually transmitted disease, a health care provider must obtain the individual's consent for an HIV diagnostic test or inform the individual that an HIV test will be performed unless the individual opts out of the HIV test. (c) A health care provider who submits an individual's blood for an HIV diagnostic test shall provide to each individual who receives a positive test result information on available HIV health services and referrals to community support programs. (d) The executive commissioner shall adopt rules to implement this section. In adopting rules, the executive commissioner must consider the most recent recommendations of the Centers for Disease Control and Prevention for HIV testing of adults and adolescents. SECTION 3. (a) The executive commissioner of the Health and Human Services Commission shall adopt the rules required by Section 85.0815, Health and Safety Code, as added by this Act, not later than January 1, 2026. (b) Notwithstanding Section 85.0815, Health and Safety Code, as added by this Act, a health care provider is not required to comply with that section until January 1, 2026. SECTION 4. (a) Notwithstanding any other section of this Act, in a state fiscal year, the Health and Human Services Commission is not required to implement a mandatory provision in another section of this Act imposing a duty on the commission to take an action unless money is specifically appropriated to the commission for that fiscal year to carry out that duty. The commission may implement the provision in that fiscal year to the extent other funding is available to the commission for the implementation. (b) If, as authorized by Subsection (a) of this section, the Health and Human Services Commission does not implement the mandatory provision in a state fiscal year, the commission, in the commission's legislative budget request for the next state fiscal biennium, shall certify that fact to the Legislative Budget Board and include a written estimate of the costs of implementing the provision in each year of that next state fiscal biennium. (c) This section expires and any duty suspended by Subsection (a) of this section becomes mandatory on September 1, 2029. SECTION 5. This Act takes effect September 1, 2025.