1 | 1 | | 2025S0136-1 02/24/25 |
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2 | 2 | | By: Perry S.B. No. 1645 |
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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 a study by the Texas Tech University Health Sciences |
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10 | 10 | | Center on health, nutrition, physical activity, and chronic health |
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11 | 11 | | issues in this state. |
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12 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 13 | | SECTION 1. DEFINITIONS. In this Act: |
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14 | 14 | | (1) "Blue zone" means one of five geographic regions |
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15 | 15 | | of the world with the highest percentage of individuals who live to |
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16 | 16 | | be at least 100 years of age. |
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17 | 17 | | (2) "Child health plan program" means the programs |
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18 | 18 | | established under Chapters 62 and 63, Health and Safety Code. |
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19 | 19 | | (3) "Health science center" means the Texas Tech |
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20 | 20 | | University Health Sciences Center. |
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21 | 21 | | (4) "Medicaid" means the medical assistance program |
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22 | 22 | | established under Chapter 32, Human Resources Code. |
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23 | 23 | | (5) "Sweetened beverage" means a nonalcoholic |
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24 | 24 | | beverage with an added natural or artificial sweetener that is sold |
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25 | 25 | | for human consumption. |
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26 | 26 | | SECTION 2. STUDY. (a) The Texas Tech University Health |
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27 | 27 | | Sciences Center shall conduct a study on health, nutrition, |
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28 | 28 | | physical activity, and chronic health issues in this state. |
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29 | 29 | | (b) Using existing available information from the preceding |
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30 | 30 | | 50 years, the study must: |
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31 | 31 | | (1) analyze historical changes in dietary habits |
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32 | 32 | | categorized by per capita consumption, including: |
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33 | 33 | | (A) changes in average daily caloric intake; |
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34 | 34 | | (B) changes in the consumption of: |
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35 | 35 | | (i) fresh fruits, vegetables, and other |
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36 | 36 | | whole foods; |
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37 | 37 | | (ii) red meat, poultry, and processed |
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38 | 38 | | meats; and |
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39 | 39 | | (iii) milk, butter, and cheese; |
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40 | 40 | | (C) a comparison of trends between refined grain |
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41 | 41 | | and whole grain consumption; |
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42 | 42 | | (D) trends in the increased consumption of: |
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43 | 43 | | (i) ultra-processed foods; |
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44 | 44 | | (ii) soda and other sweetened beverages; |
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45 | 45 | | and |
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46 | 46 | | (iii) added sugars in all food products; |
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47 | 47 | | (E) the expansion of the fast food industry and |
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48 | 48 | | the effects of the fast food industry on consumption trends; |
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49 | 49 | | (F) the use of high fructose corn syrup as a |
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50 | 50 | | sweetener in food and beverage products; and |
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51 | 51 | | (G) the use of industrial seed oils in food |
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52 | 52 | | products; |
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53 | 53 | | (2) analyze historical changes in the per capita |
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54 | 54 | | consumption of drugs and other substances, including: |
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55 | 55 | | (A) the consumption of: |
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56 | 56 | | (i) tea, coffee, energy drinks, and other |
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57 | 57 | | sources of caffeine; and |
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58 | 58 | | (ii) distilled spirits, malt beverages, and |
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59 | 59 | | wine; and |
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60 | 60 | | (B) the frequency of prescription opioid use and |
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61 | 61 | | trends in the abuse or misuse of opioids; |
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62 | 62 | | (3) assess historical changes in physical activity |
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63 | 63 | | levels, including: |
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64 | 64 | | (A) changes in sedentary behavior such as |
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65 | 65 | | increased screen time and the role of work and school environments |
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66 | 66 | | in affecting an individual's amount of physical activity; |
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67 | 67 | | (B) the decline of physical activity levels of |
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68 | 68 | | students in schools; and |
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69 | 69 | | (C) trends in recreational activity and gym |
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70 | 70 | | memberships; |
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71 | 71 | | (4) track the prevalence of chronic diseases and other |
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72 | 72 | | chronic health issues across various demographics and age groups, |
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73 | 73 | | including: |
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74 | 74 | | (A) obesity; |
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75 | 75 | | (B) Type 2 diabetes; |
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76 | 76 | | (C) cardiovascular disease; |
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77 | 77 | | (D) Alzheimer's disease and dementia; |
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78 | 78 | | (E) depression and other mental health |
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79 | 79 | | disorders; |
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80 | 80 | | (F) the correlation between chronic health |
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81 | 81 | | issues and deaths caused by suicide; |
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82 | 82 | | (G) autism; |
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83 | 83 | | (H) infertility and related conditions; |
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84 | 84 | | (I) nonalcoholic fatty liver disease; |
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85 | 85 | | (J) diet-related cancers, including colorectal |
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86 | 86 | | and breast cancer; and |
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87 | 87 | | (K) sleep disorders such as insomnia, sleep |
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88 | 88 | | apnea, and other conditions related to lifestyle; |
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89 | 89 | | (5) evaluate blue zones to identify best practices |
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90 | 90 | | linked to health and a long life expectancy; |
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91 | 91 | | (6) analyze trends in state and federal health care |
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92 | 92 | | spending as follows: |
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93 | 93 | | (A) increases in spending for the Medicaid |
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94 | 94 | | program, including per capita cost, enrollment increases, and |
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95 | 95 | | factors contributing to the increases; |
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96 | 96 | | (B) increases in federal spending for Medicare, |
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97 | 97 | | including the trends in the cost for individual enrollees, |
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98 | 98 | | prescription drug costs, and hospital care expenditures; and |
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99 | 99 | | (C) trends in this state's spending for the child |
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100 | 100 | | health plan program; |
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101 | 101 | | (7) analyze private insurance costs, including: |
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102 | 102 | | (A) historical information on the increased |
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103 | 103 | | price of health insurance premiums for employers and individuals; |
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104 | 104 | | (B) increases in average deductibles, copays, |
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105 | 105 | | and other direct costs to individuals with private insurance; and |
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106 | 106 | | (C) changes to the cost of an employer health |
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107 | 107 | | benefit plan as a portion of an employee's total compensation; and |
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108 | 108 | | (8) evaluate the broader economic impact of the rise |
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109 | 109 | | in chronic disease and related chronic health issues on: |
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110 | 110 | | (A) total health care spending as a percentage of |
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111 | 111 | | the total gross domestic product of this state; |
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112 | 112 | | (B) the average amount of household income spent |
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113 | 113 | | on health care costs in the United States; |
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114 | 114 | | (C) the average amount of medical debt incurred |
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115 | 115 | | by individuals in the United States; |
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116 | 116 | | (D) the percentage of uninsured individuals in |
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117 | 117 | | this state and the financial impact on hospitals and emergency |
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118 | 118 | | services of providing health care services to those individuals; |
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119 | 119 | | (E) the cost of prescription drugs in this state, |
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120 | 120 | | including the cost of specialty medications and the impact of |
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121 | 121 | | patents, generic drugs, and biosimilar drugs on the cost of |
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122 | 122 | | prescription drugs; and |
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123 | 123 | | (F) the growth of administrative expenses as a |
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124 | 124 | | share of the total health care costs in this state. |
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125 | 125 | | (c) To the extent possible, the study must prioritize the |
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126 | 126 | | use of Texas-specific data. In instances where state-level data is |
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127 | 127 | | unavailable, national data may be used as a substitute, with clear |
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128 | 128 | | distinctions being noted in the study's findings to ensure |
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129 | 129 | | transparency and prevent misrepresentation of statewide trends. |
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130 | 130 | | SECTION 3. STATE AGENCY ASSISTANCE. On request of the |
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131 | 131 | | health science center, the Department of State Health Services, the |
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132 | 132 | | Health and Human Services Commission, the Department of |
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133 | 133 | | Agriculture, and the Texas Education Agency shall provide |
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134 | 134 | | information to assist the health science center in completing the |
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135 | 135 | | study under this Act. |
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136 | 136 | | SECTION 4. COLLABORATION. The health science center may |
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137 | 137 | | collaborate with other relevant state and federal agencies as |
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138 | 138 | | necessary to conduct the study required under this Act. |
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139 | 139 | | SECTION 5. REPORT. Not later than September 1, 2026, the |
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140 | 140 | | health science center shall submit to the Health and Human Services |
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141 | 141 | | Commission and any standing committee of the legislature with |
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142 | 142 | | primary jurisdiction over health and safety a written report of the |
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143 | 143 | | study conducted under Section 2 of this Act. |
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144 | 144 | | SECTION 6. EXPIRATION. This Act expires January 1, 2027. |
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145 | 145 | | SECTION 7. EFFECTIVE DATE. This Act takes effect September |
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146 | 146 | | 1, 2025. |
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