1 | 1 | | 89R9350 DNC-D |
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2 | 2 | | By: Simmons H.B. No. 2475 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to medical education coursework in cultural competence and |
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10 | 10 | | implicit bias. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Subchapter F, Chapter 51, Education Code, is |
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13 | 13 | | amended by adding Section 51.310 to read as follows: |
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14 | 14 | | Sec. 51.310. CULTURAL COMPETENCE AND IMPLICIT BIAS MEDICAL |
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15 | 15 | | EDUCATION COURSEWORK. (a) In this section: |
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16 | 16 | | (1) "Coordinating board" means the Texas Higher |
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17 | 17 | | Education Coordinating Board. |
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18 | 18 | | (2) "Cultural competence" and "implicit bias" have the |
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19 | 19 | | meanings assigned by Section 153.017, Occupations Code. |
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20 | 20 | | (3) "Medical school" has the meaning assigned by |
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21 | 21 | | Section 61.501. |
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22 | 22 | | (b) The coordinating board by rule shall require a medical |
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23 | 23 | | school to offer coursework in cultural competence and implicit bias |
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24 | 24 | | approved by the Texas Medical Board under Section 153.017(b), |
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25 | 25 | | Occupations Code. |
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26 | 26 | | (c) A medical school may not award a student a doctor of |
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27 | 27 | | medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree |
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28 | 28 | | unless the student has successfully completed the number of hours |
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29 | 29 | | of coursework in cultural competence and implicit bias required by |
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30 | 30 | | coordinating board rule. |
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31 | 31 | | SECTION 2. Subchapter A, Chapter 153, Occupations Code, is |
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32 | 32 | | amended by adding Section 153.017 to read as follows: |
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33 | 33 | | Sec. 153.017. COURSEWORK IN CULTURAL COMPETENCE AND |
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34 | 34 | | IMPLICIT BIAS. (a) In this section: |
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35 | 35 | | (1) "Cultural competence" means, with respect to |
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36 | 36 | | health care, the ability to effectively address the health issues |
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37 | 37 | | of individuals from diverse backgrounds by applying knowledge, |
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38 | 38 | | empathy, and insight into the views on health that those |
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39 | 39 | | backgrounds present. |
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40 | 40 | | (2) "Implicit bias" means: |
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41 | 41 | | (A) bias in judgment or behavior that results |
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42 | 42 | | from subtle cognitive processes, including implicit attitudes and |
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43 | 43 | | stereotypes, that often operate at a level below conscious |
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44 | 44 | | awareness and without intentional control; or |
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45 | 45 | | (B) implicit attitudes and stereotypes that |
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46 | 46 | | result in beliefs or simple associations that a person makes |
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47 | 47 | | between an object and its evaluation that are automatically |
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48 | 48 | | activated by the mere presence, actual or symbolic, of the attitude |
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49 | 49 | | object. |
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50 | 50 | | (b) The board by rule shall approve coursework in cultural |
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51 | 51 | | competence and implicit bias for purposes of Section 51.310, |
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52 | 52 | | Education Code. |
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53 | 53 | | (c) Coursework approved under Subsection (b) must be: |
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54 | 54 | | (1) designed to address medical decisions and |
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55 | 55 | | treatment relating to a person's race, ethnicity, nationality, |
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56 | 56 | | language, sex, gender, physical and mental ability, and |
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57 | 57 | | socioeconomic status; and |
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58 | 58 | | (2) developed in consultation with: |
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59 | 59 | | (A) the Texas Higher Education Coordinating |
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60 | 60 | | Board; and |
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61 | 61 | | (B) the Association of American Medical Colleges |
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62 | 62 | | or another nationally recognized organization that reviews medical |
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63 | 63 | | school curricula. |
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64 | 64 | | SECTION 3. Not later than December 1, 2025, the Texas Higher |
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65 | 65 | | Education Coordinating Board and the Texas Medical Board shall |
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66 | 66 | | adopt the rules necessary to implement this Act. |
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67 | 67 | | SECTION 4. Section 51.310(c), Education Code, as added by |
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68 | 68 | | this Act, applies only to a student who enrolls in a doctor of |
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69 | 69 | | medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree |
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70 | 70 | | program on or after January 1, 2026. |
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71 | 71 | | SECTION 5. This Act takes effect September 1, 2025. |
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