1 | 1 | | 89R8564 KRM-D |
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2 | 2 | | By: Hull H.B. No. 25 |
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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 health and nutrition standards to promote healthy |
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10 | 10 | | living. |
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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. Section 28.002, Education Code, is amended by |
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13 | 13 | | amending Subsection (l) and adding Subsection (l-4) to read as |
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14 | 14 | | follows: |
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15 | 15 | | (l) A school district shall require a student enrolled in |
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16 | 16 | | full-day prekindergarten, in kindergarten, or in a grade level |
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17 | 17 | | below grade six to participate in moderate or vigorous daily |
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18 | 18 | | physical activity for at least 30 minutes throughout the school |
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19 | 19 | | year as part of the district's physical education curriculum or |
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20 | 20 | | through structured activity during a school campus's daily recess. |
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21 | 21 | | To the extent practicable, a school district shall require a |
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22 | 22 | | student enrolled in prekindergarten on less than a full-day basis |
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23 | 23 | | to participate in the same type and amount of physical activity as a |
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24 | 24 | | student enrolled in full-day prekindergarten. A school district |
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25 | 25 | | shall require students enrolled in grade levels six, seven, and |
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26 | 26 | | eight to participate in moderate or vigorous daily physical |
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27 | 27 | | activity for at least 30 minutes for at least six [four] semesters |
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28 | 28 | | during those grade levels as part of the district's physical |
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29 | 29 | | education curriculum. If a school district determines, for any |
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30 | 30 | | particular grade level below grade six, that requiring moderate or |
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31 | 31 | | vigorous daily physical activity is impractical due to scheduling |
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32 | 32 | | concerns or other factors, the district may as an alternative |
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33 | 33 | | require a student in that grade level to participate in moderate or |
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34 | 34 | | vigorous physical activity for at least 135 minutes during each |
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35 | 35 | | school week. Additionally, a school district may as an alternative |
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36 | 36 | | require a student enrolled in a grade level for which the district |
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37 | 37 | | uses block scheduling to participate in moderate or vigorous |
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38 | 38 | | physical activity for at least 225 minutes during each period of two |
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39 | 39 | | school weeks. A school district must provide for an exemption for: |
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40 | 40 | | (1) any student who is unable to participate in the |
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41 | 41 | | required physical activity because of illness or disability; and |
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42 | 42 | | (2) a middle school or junior high school student who |
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43 | 43 | | participates in an extracurricular activity with a moderate or |
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44 | 44 | | vigorous physical activity component that is considered a |
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45 | 45 | | structured activity under rules adopted by the commissioner. |
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46 | 46 | | (l-4) In providing a physical education curriculum under |
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47 | 47 | | Subsection (l), a school employee may not restrict participation |
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48 | 48 | | in: |
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49 | 49 | | (1) recess or other physical activity offered as part |
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50 | 50 | | of the district's physical education curriculum for a student |
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51 | 51 | | enrolled in kindergarten or in a grade level below grade six as a |
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52 | 52 | | penalty for the student's academic performance or behavior; or |
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53 | 53 | | (2) physical activity offered as part of the |
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54 | 54 | | district's physical education curriculum for a student enrolled in |
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55 | 55 | | grade level six, seven, or eight as a penalty for the student's |
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56 | 56 | | academic performance or behavior. |
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57 | 57 | | SECTION 2. Subchapter A, Chapter 63, Education Code, is |
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58 | 58 | | amended by adding Section 63.0025 to read as follows: |
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59 | 59 | | Sec. 63.0025. REQUIRED NUTRITION CURRICULUM. A |
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60 | 60 | | health-related institution of higher education listed in Section |
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61 | 61 | | 63.002(c) is eligible for distribution of money under this |
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62 | 62 | | subchapter only if the institution: |
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63 | 63 | | (1) develops nutrition curriculum requirements based |
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64 | 64 | | on nutrition guidelines recommended by the Texas Nutrition Advisory |
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65 | 65 | | Committee established under Chapter 119B, Health and Safety Code; |
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66 | 66 | | and |
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67 | 67 | | (2) requires all medical students or students in other |
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68 | 68 | | health-related majors who are enrolled at the institution to |
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69 | 69 | | successfully complete the curriculum requirements developed under |
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70 | 70 | | Subdivision (1). |
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71 | 71 | | SECTION 3. Subchapter B, Chapter 63, Education Code, is |
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72 | 72 | | amended by adding Section 63.103 to read as follows: |
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73 | 73 | | Sec. 63.103. REQUIRED NUTRITION CURRICULUM. A |
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74 | 74 | | health-related institution of higher education listed in Section |
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75 | 75 | | 63.101(a) is eligible for distribution of money from a fund |
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76 | 76 | | established under this subchapter only if the institution: |
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77 | 77 | | (1) develops nutrition curriculum requirements based |
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78 | 78 | | on nutrition guidelines recommended by the Texas Nutrition Advisory |
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79 | 79 | | Committee established under Chapter 119B, Health and Safety Code; |
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80 | 80 | | and |
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81 | 81 | | (2) requires all medical students or students in other |
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82 | 82 | | health-related majors who are enrolled at the institution to |
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83 | 83 | | successfully complete the curriculum requirements developed under |
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84 | 84 | | Subdivision (1). |
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85 | 85 | | SECTION 4. Subchapter C, Chapter 63, Education Code, is |
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86 | 86 | | amended by adding Section 63.2025 to read as follows: |
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87 | 87 | | Sec. 63.2025. REQUIRED NUTRITION CURRICULUM. A |
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88 | 88 | | health-related institution providing graduate medical education is |
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89 | 89 | | eligible for a grant award under this subchapter only if the |
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90 | 90 | | institution: |
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91 | 91 | | (1) develops nutrition curriculum requirements based |
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92 | 92 | | on nutrition guidelines recommended by the Texas Nutrition Advisory |
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93 | 93 | | Committee established under Chapter 119B, Health and Safety Code; |
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94 | 94 | | and |
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95 | 95 | | (2) requires all students in nursing, allied health, |
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96 | 96 | | or other health-related majors who are enrolled at the institution |
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97 | 97 | | to successfully complete the curriculum requirements developed |
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98 | 98 | | under Subdivision (1). |
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99 | 99 | | SECTION 5. Subchapter D, Chapter 63, Education Code, is |
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100 | 100 | | amended by adding Section 63.303 to read as follows: |
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101 | 101 | | Sec. 63.303. REQUIRED NUTRITION CURRICULUM. A |
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102 | 102 | | health-related institution providing graduate medical education is |
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103 | 103 | | eligible for a grant award under this subchapter only if the |
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104 | 104 | | institution: |
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105 | 105 | | (1) develops nutrition curriculum requirements based |
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106 | 106 | | on nutrition guidelines recommended by the Texas Nutrition Advisory |
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107 | 107 | | Committee established under Chapter 119B, Health and Safety Code; |
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108 | 108 | | and |
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109 | 109 | | (2) requires all medical students or students in other |
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110 | 110 | | health-related majors who are enrolled at the institution to |
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111 | 111 | | successfully complete the curriculum requirements developed under |
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112 | 112 | | Subdivision (1). |
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113 | 113 | | SECTION 6. Subtitle E, Title 2, Health and Safety Code, is |
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114 | 114 | | amended by adding Chapter 119B to read as follows: |
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115 | 115 | | CHAPTER 119B. TEXAS NUTRITION ADVISORY COMMITTEE |
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116 | 116 | | Sec. 119B.001. DEFINITION. In this chapter, "advisory |
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117 | 117 | | committee" means the Texas Nutrition Advisory Committee. |
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118 | 118 | | Sec. 119B.002. ADVISORY COMMITTEE ESTABLISHED. The Texas |
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119 | 119 | | Nutrition Advisory Committee is established to develop nutritional |
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120 | 120 | | guidelines for residents of this state. The advisory committee is |
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121 | 121 | | administratively attached to the department. |
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122 | 122 | | Sec. 119B.003. MEMBERSHIP. (a) The advisory committee is |
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123 | 123 | | composed of seven members appointed by the governor, including at |
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124 | 124 | | least: |
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125 | 125 | | (1) one expert in metabolic health; |
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126 | 126 | | (2) one licensed physician certified in functional |
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127 | 127 | | medicine; |
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128 | 128 | | (3) one member representing the Texas Department of |
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129 | 129 | | Agriculture; |
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130 | 130 | | (4) one member representing a rural community; and |
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131 | 131 | | (5) one member representing an urban community. |
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132 | 132 | | (b) In appointing the advisory committee members, the |
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133 | 133 | | governor must: |
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134 | 134 | | (1) consider recommendations provided by: |
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135 | 135 | | (A) the chair of the senate committee on health |
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136 | 136 | | and human services; |
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137 | 137 | | (B) the chair of the house of representatives |
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138 | 138 | | committee on public health; and |
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139 | 139 | | (C) the chair of the house of representatives |
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140 | 140 | | committee on human services; and |
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141 | 141 | | (2) ensure not more than two members are affiliated |
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142 | 142 | | with an academic or health-related institution of higher education |
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143 | 143 | | if the appointment could reasonably create a conflict of interest |
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144 | 144 | | between the goals of the advisory committee and the goals of the |
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145 | 145 | | institution. |
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146 | 146 | | (c) The governor may not appoint as an advisory committee |
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147 | 147 | | member an individual who: |
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148 | 148 | | (1) owns or controls a three percent or greater |
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149 | 149 | | ownership interest in a food, beverage, or pharmaceutical |
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150 | 150 | | manufacturing company; or |
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151 | 151 | | (2) is related within the third degree of |
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152 | 152 | | consanguinity or affinity, as determined by Chapter 573, Government |
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153 | 153 | | Code, to an individual who owns or controls a three percent or |
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154 | 154 | | greater ownership interest in a food, beverage, or pharmaceutical |
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155 | 155 | | manufacturing company. |
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156 | 156 | | (d) Before accepting an appointment under this section, an |
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157 | 157 | | individual must disclose all past or existing affiliations with a |
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158 | 158 | | food, beverage, or pharmaceutical manufacturing company or any |
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159 | 159 | | other affiliation that could reasonably create a conflict of |
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160 | 160 | | interest with the goals of the advisory committee. An advisory |
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161 | 161 | | committee member who fails to disclose an affiliation described by |
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162 | 162 | | this subsection is subject to removal by the governor. |
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163 | 163 | | (e) Advisory committee members serve staggered two-year |
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164 | 164 | | terms. |
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165 | 165 | | Sec. 119B.004. ADVISORY COMMITTEE DUTIES. The advisory |
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166 | 166 | | committee shall: |
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167 | 167 | | (1) examine the impact of nutrition on human health |
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168 | 168 | | and examine the connection between ultra-processed foods, |
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169 | 169 | | including foods containing artificial color and food additives, and |
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170 | 170 | | the prevalence of chronic diseases and other chronic health issues; |
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171 | 171 | | (2) provide an independent review of scientific |
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172 | 172 | | studies analyzing the effects of ultra-processed foods on human |
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173 | 173 | | health; |
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174 | 174 | | (3) provide education on the effects of |
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175 | 175 | | ultra-processed foods on human health; and |
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176 | 176 | | (4) develop and maintain dietary and nutritional |
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177 | 177 | | guidelines based on the consensus of available scientific studies |
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178 | 178 | | and information concerning diet and nutrition. |
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179 | 179 | | Sec. 119B.005. ANNUAL REPORT. Not later than September 1 of |
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180 | 180 | | each year, the advisory committee shall prepare and submit to the |
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181 | 181 | | department, the governor, the lieutenant governor, the speaker of |
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182 | 182 | | the house of representatives, and each standing committee of the |
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183 | 183 | | legislature with primary jurisdiction over health and safety a |
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184 | 184 | | written report that includes: |
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185 | 185 | | (1) a summary of the scientific studies; |
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186 | 186 | | (2) nutritional guidelines incorporating any new |
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187 | 187 | | scientific findings; and |
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188 | 188 | | (3) any other recommendations the advisory committee |
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189 | 189 | | considers appropriate based on new scientific studies. |
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190 | 190 | | Sec. 119B.006. DEPARTMENT NUTRITIONAL GUIDELINES WEBPAGE. |
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191 | 191 | | (a) The department shall post on a publicly available webpage on |
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192 | 192 | | the department's Internet website the guidelines developed under |
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193 | 193 | | Section 119B.004 in a manner that is easily accessible and readily |
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194 | 194 | | understandable. |
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195 | 195 | | (b) The department shall annually update information posted |
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196 | 196 | | under this section based on the report submitted under Section |
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197 | 197 | | 119B.005. |
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198 | 198 | | Sec. 119B.007. EXPIRATION. The advisory committee is |
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199 | 199 | | abolished and this chapter expires December 31, 2032. |
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200 | 200 | | Sec. 119B.008. RULES. The executive commissioner of the |
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201 | 201 | | Health and Human Services Commission may adopt rules as necessary |
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202 | 202 | | to implement this chapter. |
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203 | 203 | | SECTION 7. Subchapter D, Chapter 431, Health and Safety |
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204 | 204 | | Code, is amended by adding Section 431.0815 to read as follows: |
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205 | 205 | | Sec. 431.0815. FOOD CONTAINING ARTIFICIAL COLOR, |
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206 | 206 | | ADDITIVES, OR CERTAIN BANNED CHEMICALS. (a) A food manufacturer |
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207 | 207 | | shall label each product the manufacturer offers for sale with a |
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208 | 208 | | warning label disclosing the use of any: |
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209 | 209 | | (1) artificial color; |
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210 | 210 | | (2) food additive; or |
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211 | 211 | | (3) other chemical ingredient banned by Canada, the |
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212 | 212 | | European Union, or the United Kingdom. |
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213 | 213 | | (b) The warning label must: |
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214 | 214 | | (1) include at least one of the following statements, |
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215 | 215 | | as applicable: |
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216 | 216 | | (A) if the food contains an artificial color or |
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217 | 217 | | food additive, a statement substantially similar to the following, |
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218 | 218 | | printed in a font size not smaller than the largest font used to |
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219 | 219 | | disclose other consumer information: |
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220 | 220 | | "WARNING: This product contains artificial color or a |
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221 | 221 | | food additive. Some scientific research suggests artificial colors |
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222 | 222 | | and food additives may affect individuals with certain health |
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223 | 223 | | conditions. For more information, visit [insert link to the United |
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224 | 224 | | States Food and Drug Administration's Internet website]."; or |
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225 | 225 | | (B) if the food contains a banned chemical |
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226 | 226 | | described by Subsection (a), a statement substantially similar to |
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227 | 227 | | the following, printed in a font size not smaller than the largest |
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228 | 228 | | font used to disclose other consumer information: |
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229 | 229 | | "WARNING: This product may expose you to [Name of |
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230 | 230 | | Chemical], which is banned by [Name of Country]."; |
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231 | 231 | | (2) be placed in a prominent and reasonably visible |
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232 | 232 | | location; and |
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233 | 233 | | (3) have sufficiently high contrast with the immediate |
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234 | 234 | | background to ensure the warning is likely to be seen and understood |
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235 | 235 | | by the ordinary individual under customary conditions of purchase |
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236 | 236 | | and use. |
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237 | 237 | | (c) A food manufacturer that offers a product described by |
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238 | 238 | | Subsection (a) for sale on the manufacturer's Internet website |
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239 | 239 | | shall disclose to the consumer all labeling information required |
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240 | 240 | | under Subsection (b) and department rules by: |
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241 | 241 | | (1) posting a legible statement on the manufacturer's |
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242 | 242 | | Internet website; or |
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243 | 243 | | (2) otherwise communicating the information to the |
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244 | 244 | | consumer. |
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245 | 245 | | SECTION 8. Subchapter B, Chapter 156, Occupations Code, is |
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246 | 246 | | amended by adding Section 156.061 to read as follows: |
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247 | 247 | | Sec. 156.061. CONTINUING EDUCATION IN NUTRITION AND |
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248 | 248 | | METABOLIC HEALTH. (a) A physician licensed under this subtitle who |
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249 | 249 | | submits an application for renewal of a license to practice |
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250 | 250 | | medicine must complete, in accordance with this section and rules |
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251 | 251 | | adopted under this section, continuing medical education regarding |
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252 | 252 | | nutrition and metabolic health. |
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253 | 253 | | (b) The board shall adopt rules to implement this section. |
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254 | 254 | | The rules must prescribe: |
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255 | 255 | | (1) the number of hours of the continuing medical |
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256 | 256 | | education required by this section; and |
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257 | 257 | | (2) the content of the continuing medical education |
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258 | 258 | | required by this section by using the nutritional guidelines |
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259 | 259 | | provided by the Texas Nutrition Advisory Committee under Chapter |
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260 | 260 | | 119B, Health and Safety Code. |
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261 | 261 | | SECTION 9. (a) Section 28.002(l), Education Code, as |
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262 | 262 | | amended by this Act, applies only to students entering the sixth |
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263 | 263 | | grade during the 2026-2027 school year or a later school year. For |
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264 | 264 | | students entering a grade above sixth grade during the 2026-2027 |
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265 | 265 | | school year, Section 28.002(l), Education Code, as that section |
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266 | 266 | | existed before amendment by this Act, applies, and that section is |
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267 | 267 | | continued in effect for that purpose. |
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268 | 268 | | (b) Section 28.002(l-4), Education Code, as added by this |
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269 | 269 | | Act, applies beginning with the 2026-2027 school year. |
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270 | 270 | | SECTION 10. (a) Not later than July 1, 2027, a |
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271 | 271 | | health-related institution of higher education shall develop and |
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272 | 272 | | implement curriculum required by Sections 63.0025, 63.103, |
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273 | 273 | | 63.2025, and 63.303, Education Code, as added by this Act, to remain |
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274 | 274 | | eligible for funding under those sections. |
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275 | 275 | | (b) A health-related institution of higher education is not |
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276 | 276 | | required to comply with Sections 63.0025, 63.103, 63.2025, and |
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277 | 277 | | 63.303, Education Code, as added by this Act, until July 1, 2027. |
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278 | 278 | | SECTION 11. (a) Not later than December 31, 2025, the |
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279 | 279 | | governor shall appoint the members of the Texas Nutrition Advisory |
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280 | 280 | | Committee established under Chapter 119B, Health and Safety Code, |
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281 | 281 | | as added by this Act, and shall provide for staggered member terms |
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282 | 282 | | as required by that chapter. |
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283 | 283 | | (b) Not later than September 1, 2026, the Texas Nutrition |
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284 | 284 | | Advisory Committee shall prepare and submit to the Department of |
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285 | 285 | | State Health Services, the governor, the lieutenant governor, the |
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286 | 286 | | speaker of the house, and each standing committee of the |
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287 | 287 | | legislature with primary jurisdiction over health and safety the |
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288 | 288 | | initial report required under Section 119B.005, Health and Safety |
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289 | 289 | | Code, as added by this Act. |
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290 | 290 | | (c) As soon as practicable after the submission of the |
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291 | 291 | | report under Subsection (b) of this section, the Department of |
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292 | 292 | | State Health Services shall post information required under Section |
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293 | 293 | | 119B.006, Health and Safety Code, as added by this Act, on the |
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294 | 294 | | department's Internet website. |
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295 | 295 | | SECTION 12. (a) Not later than December 31, 2025, the |
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296 | 296 | | executive commissioner of the Health and Human Services Commission |
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297 | 297 | | shall adopt rules to implement changes made by Section 431.0815, |
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298 | 298 | | Health and Safety Code, as added by this Act. |
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299 | 299 | | (b) Section 431.0815, Health and Safety Code, as added by |
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300 | 300 | | this Act, applies only to the labeling of food products |
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301 | 301 | | manufactured on or after January 1, 2026. |
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302 | 302 | | SECTION 13. (a) Section 156.061, Occupations Code, as |
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303 | 303 | | added by this Act, applies only to an application for license |
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304 | 304 | | renewal filed on or after January 1, 2027. An application for |
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305 | 305 | | license renewal filed before that date is governed by the law in |
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306 | 306 | | effect on the date the application was filed, and the former law is |
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307 | 307 | | continued in effect for that purpose. |
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308 | 308 | | (b) Not later than December 31, 2026, the Texas Medical |
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309 | 309 | | Board shall adopt the rules required by Section 156.061, |
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310 | 310 | | Occupations Code, as added by this Act. |
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311 | 311 | | SECTION 14. This Act takes effect September 1, 2025. |
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