Texas 2025 - 89th Regular

Texas Senate Bill SB1645 Compare Versions

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11 2025S0136-1 02/24/25
22 By: Perry S.B. No. 1645
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77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to a study by the Texas Tech University Health Sciences
1010 Center on health, nutrition, physical activity, and chronic health
1111 issues in this state.
1212 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1313 SECTION 1. DEFINITIONS. In this Act:
1414 (1) "Blue zone" means one of five geographic regions
1515 of the world with the highest percentage of individuals who live to
1616 be at least 100 years of age.
1717 (2) "Child health plan program" means the programs
1818 established under Chapters 62 and 63, Health and Safety Code.
1919 (3) "Health science center" means the Texas Tech
2020 University Health Sciences Center.
2121 (4) "Medicaid" means the medical assistance program
2222 established under Chapter 32, Human Resources Code.
2323 (5) "Sweetened beverage" means a nonalcoholic
2424 beverage with an added natural or artificial sweetener that is sold
2525 for human consumption.
2626 SECTION 2. STUDY. (a) The Texas Tech University Health
2727 Sciences Center shall conduct a study on health, nutrition,
2828 physical activity, and chronic health issues in this state.
2929 (b) Using existing available information from the preceding
3030 50 years, the study must:
3131 (1) analyze historical changes in dietary habits
3232 categorized by per capita consumption, including:
3333 (A) changes in average daily caloric intake;
3434 (B) changes in the consumption of:
3535 (i) fresh fruits, vegetables, and other
3636 whole foods;
3737 (ii) red meat, poultry, and processed
3838 meats; and
3939 (iii) milk, butter, and cheese;
4040 (C) a comparison of trends between refined grain
4141 and whole grain consumption;
4242 (D) trends in the increased consumption of:
4343 (i) ultra-processed foods;
4444 (ii) soda and other sweetened beverages;
4545 and
4646 (iii) added sugars in all food products;
4747 (E) the expansion of the fast food industry and
4848 the effects of the fast food industry on consumption trends;
4949 (F) the use of high fructose corn syrup as a
5050 sweetener in food and beverage products; and
5151 (G) the use of industrial seed oils in food
5252 products;
5353 (2) analyze historical changes in the per capita
5454 consumption of drugs and other substances, including:
5555 (A) the consumption of:
5656 (i) tea, coffee, energy drinks, and other
5757 sources of caffeine; and
5858 (ii) distilled spirits, malt beverages, and
5959 wine; and
6060 (B) the frequency of prescription opioid use and
6161 trends in the abuse or misuse of opioids;
6262 (3) assess historical changes in physical activity
6363 levels, including:
6464 (A) changes in sedentary behavior such as
6565 increased screen time and the role of work and school environments
6666 in affecting an individual's amount of physical activity;
6767 (B) the decline of physical activity levels of
6868 students in schools; and
6969 (C) trends in recreational activity and gym
7070 memberships;
7171 (4) track the prevalence of chronic diseases and other
7272 chronic health issues across various demographics and age groups,
7373 including:
7474 (A) obesity;
7575 (B) Type 2 diabetes;
7676 (C) cardiovascular disease;
7777 (D) Alzheimer's disease and dementia;
7878 (E) depression and other mental health
7979 disorders;
8080 (F) the correlation between chronic health
8181 issues and deaths caused by suicide;
8282 (G) autism;
8383 (H) infertility and related conditions;
8484 (I) nonalcoholic fatty liver disease;
8585 (J) diet-related cancers, including colorectal
8686 and breast cancer; and
8787 (K) sleep disorders such as insomnia, sleep
8888 apnea, and other conditions related to lifestyle;
8989 (5) evaluate blue zones to identify best practices
9090 linked to health and a long life expectancy;
9191 (6) analyze trends in state and federal health care
9292 spending as follows:
9393 (A) increases in spending for the Medicaid
9494 program, including per capita cost, enrollment increases, and
9595 factors contributing to the increases;
9696 (B) increases in federal spending for Medicare,
9797 including the trends in the cost for individual enrollees,
9898 prescription drug costs, and hospital care expenditures; and
9999 (C) trends in this state's spending for the child
100100 health plan program;
101101 (7) analyze private insurance costs, including:
102102 (A) historical information on the increased
103103 price of health insurance premiums for employers and individuals;
104104 (B) increases in average deductibles, copays,
105105 and other direct costs to individuals with private insurance; and
106106 (C) changes to the cost of an employer health
107107 benefit plan as a portion of an employee's total compensation; and
108108 (8) evaluate the broader economic impact of the rise
109109 in chronic disease and related chronic health issues on:
110110 (A) total health care spending as a percentage of
111111 the total gross domestic product of this state;
112112 (B) the average amount of household income spent
113113 on health care costs in the United States;
114114 (C) the average amount of medical debt incurred
115115 by individuals in the United States;
116116 (D) the percentage of uninsured individuals in
117117 this state and the financial impact on hospitals and emergency
118118 services of providing health care services to those individuals;
119119 (E) the cost of prescription drugs in this state,
120120 including the cost of specialty medications and the impact of
121121 patents, generic drugs, and biosimilar drugs on the cost of
122122 prescription drugs; and
123123 (F) the growth of administrative expenses as a
124124 share of the total health care costs in this state.
125125 (c) To the extent possible, the study must prioritize the
126126 use of Texas-specific data. In instances where state-level data is
127127 unavailable, national data may be used as a substitute, with clear
128128 distinctions being noted in the study's findings to ensure
129129 transparency and prevent misrepresentation of statewide trends.
130130 SECTION 3. STATE AGENCY ASSISTANCE. On request of the
131131 health science center, the Department of State Health Services, the
132132 Health and Human Services Commission, the Department of
133133 Agriculture, and the Texas Education Agency shall provide
134134 information to assist the health science center in completing the
135135 study under this Act.
136136 SECTION 4. COLLABORATION. The health science center may
137137 collaborate with other relevant state and federal agencies as
138138 necessary to conduct the study required under this Act.
139139 SECTION 5. REPORT. Not later than September 1, 2026, the
140140 health science center shall submit to the Health and Human Services
141141 Commission and any standing committee of the legislature with
142142 primary jurisdiction over health and safety a written report of the
143143 study conducted under Section 2 of this Act.
144144 SECTION 6. EXPIRATION. This Act expires January 1, 2027.
145145 SECTION 7. EFFECTIVE DATE. This Act takes effect September
146146 1, 2025.