89R13770 MPF-D By: Simmons H.B. No. 3554 A BILL TO BE ENTITLED AN ACT relating to establishment of the Texas Rare Disease Advisory Council. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle E, Title 2, Health and Safety Code, is amended by adding Chapter 101A to read as follows: CHAPTER 101A. TEXAS RARE DISEASE ADVISORY COUNCIL Sec. 101A.001. DEFINITIONS. In this chapter: (1) "Advisory council" means the Texas Rare Disease Advisory Council established under this chapter. (2) "Rare disease" means a disease, disorder, or condition that affects fewer than 200,000 individuals in the United States. Sec. 101A.002. ESTABLISHMENT. (a) The Texas Rare Disease Advisory Council is established to advise the governor, state agencies, and private entities that provide health care services or other treatment to individuals diagnosed with rare diseases in this state on strategies for improving health outcomes for those individuals. (b) The department shall provide to the advisory council resources, personnel, and other administrative support as necessary for the council to carry out its duties under this chapter. Sec. 101A.003. ADVISORY COUNCIL MEMBERS. (a) The advisory council is composed of 23 members appointed as follows: (1) 11 members appointed by the governor as follows: (A) one representative of the department; (B) one representative of the commission; (C) one representative of the Texas Department of Insurance; (D) one representative of the Texas Education Agency; (E) one geneticist practicing in this state; (F) one registered nurse or advanced practice registered nurse licensed and practicing in this state with experience in treating rare diseases; (G) one hospital administrator of a hospital in this state that provides care to individuals diagnosed with a rare disease; (H) one pharmacist licensed and practicing in this state with experience dispensing prescription drugs used in treating rare diseases; (I) one representative of the biotechnology industry; (J) one representative of a health insurance company; and (K) one physician licensed and practicing in this state with experience in treating rare diseases; (2) six members appointed by the lieutenant governor as follows: (A) one representative of an academic research institution in this state that receives grant funding for rare disease research; (B) one physician licensed and practicing in this state with experience in treating rare diseases; (C) one individual who is 18 years of age or older and who is diagnosed with a rare disease; (D) two individuals who are, or previously served as, caregivers for an individual diagnosed with a rare disease; and (E) one representative of an organization that provides care or other support to individuals diagnosed with a rare disease in this state; and (3) six members appointed by the speaker of the house of representatives as follows: (A) one representative of an academic research institution in this state that receives grant funding for rare disease research; (B) one physician licensed and practicing in this state with experience in treating rare diseases; (C) one individual who is 18 years of age or older and who is diagnosed with a rare disease; (D) two individuals who are, or previously served as, caregivers for an individual diagnosed with a rare disease; and (E) one representative of an organization that provides care or other support to individuals diagnosed with a rare disease in this state. (b) Advisory council members serve staggered four-year terms, with the terms of one-half of the members, or as near to one-half as possible, expiring February 1 of each odd-numbered year. (c) A vacancy on the advisory council shall be filled for the unexpired term in the same manner as the original appointment. Sec. 101A.004. PRESIDING OFFICER; ASSISTANT PRESIDING OFFICER. The governor shall annually select from among the advisory council members a presiding officer and an assistant presiding officer. Sec. 101A.005. COUNCIL MEETINGS. (a) The advisory council shall meet: (1) at the call of the advisory council's presiding officer; and (2) on request by a majority of the advisory council members. (b) A majority of the voting members of the advisory council constitutes a quorum. (c) A meeting conducted under this section may be in person or by video conference call, as determined by the advisory council's presiding officer. (d) The advisory council shall provide notice of upcoming advisory council meetings on the department's Internet website. Sec. 101A.006. DUTIES. (a) The advisory council shall: (1) consult with experts on rare diseases and solicit public comment to develop policy recommendations for improving the treatment of rare diseases in this state; (2) develop strategy recommendations for academic research institutions of higher education in this state to facilitate continued research on rare diseases; (3) develop strategy recommendations for health care providers to better recognize and diagnose rare diseases to improve patient treatment; and (4) make recommendations to the department and other state agencies on matters affecting individuals diagnosed with a rare disease, including emergency preparedness and response resources for a pandemic or natural disaster. (b) The advisory council shall provide the department with the strategy recommendations developed under Subsection (a)(3) for publication on the department's Internet website. Sec. 101A.007. ANNUAL REPORT. (a) Not later than September 1 of each year, the advisory council shall prepare and submit to the governor and commissioner a report that includes: (1) a summary of the advisory council's activities for the preceding year; and (2) recommendations for legislative or other action on rare disease research and care. (b) The advisory council shall publish the report prepared and submitted under Subsection (a) on the department's Internet website. Sec. 101A.008. APPLICABILITY OF OTHER LAW. Section 2110.008, Government Code, does not apply to the advisory council. SECTION 2. Not later than December 1, 2025, the appropriate appointing authority shall appoint the initial members to the Texas Rare Disease Advisory Council as required by Section 101A.003(a), Health and Safety Code, as added by this Act, with the initial members' terms expiring as follows: (1) the terms of five members appointed under Section 101A.003(a)(1), of three members appointed under Section 101A.003(a)(2), and of three members appointed under Section 101A.003(a)(3) expiring February 1, 2029; and (2) the terms of six members appointed under Section 101A.003(a)(1), of three members appointed under Section 101A.003(a)(2), and of three members appointed under Section 101A.003(a)(3) expiring February 1, 2031. SECTION 3. Notwithstanding Section 101A.005, Health and Safety Code, as added by this Act, the Texas Rare Disease Advisory Council shall conduct the council's first meeting not later than January 1, 2026. SECTION 4. Notwithstanding Section 101A.007, Health and Safety Code, as added by this Act, the Texas Rare Disease Advisory Council shall submit the first report required by that section not later than September 1, 2026. SECTION 5. This Act takes effect September 1, 2025.