1 | 1 | | 89R6050 MCF-D |
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2 | 2 | | By: Cook S.B. No. 2891 |
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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 the establishment of the Health Professions Workforce |
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10 | 10 | | Coordinating Council and the abolition of the statewide health |
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11 | 11 | | coordinating council and the nursing advisory committee of that |
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12 | 12 | | council. |
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13 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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14 | 14 | | SECTION 1. Subtitle E, Title 2, Health and Safety Code, is |
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15 | 15 | | amended by adding Chapter 104A to read as follows: |
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16 | 16 | | CHAPTER 104A. HEALTH PROFESSIONS WORKFORCE COORDINATING COUNCIL |
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17 | 17 | | Sec. 104A.001. DEFINITION. In this chapter, "council" |
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18 | 18 | | means the Health Professions Workforce Coordinating Council. |
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19 | 19 | | Sec. 104A.002. ESTABLISHMENT; ADMINISTRATIVE ATTACHMENT. |
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20 | 20 | | (a) The Health Professions Workforce Coordinating Council is |
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21 | 21 | | established to study and develop a strategic approach for ensuring |
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22 | 22 | | a thriving health care system and health professions workforce in |
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23 | 23 | | this state. |
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24 | 24 | | (b) The council is administratively attached to the |
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25 | 25 | | department. The department shall provide administrative support to |
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26 | 26 | | the council. |
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27 | 27 | | Sec. 104A.003. MEMBERSHIP. (a) The council is composed of: |
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28 | 28 | | (1) at least one representative appointed by each of |
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29 | 29 | | the following state agencies: |
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30 | 30 | | (A) the department; |
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31 | 31 | | (B) the commission; |
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32 | 32 | | (C) the Texas Education Agency; |
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33 | 33 | | (D) the Texas Higher Education Coordinating |
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34 | 34 | | Board; |
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35 | 35 | | (E) the Texas Workforce Commission; |
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36 | 36 | | (F) the Texas Board of Chiropractic Examiners; |
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37 | 37 | | (G) the Texas State Board of Dental Examiners; |
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38 | 38 | | (H) the Texas Medical Board; |
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39 | 39 | | (I) the Texas Board of Nursing; |
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40 | 40 | | (J) the Texas Optometry Board; |
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41 | 41 | | (K) the Texas State Board of Pharmacy; |
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42 | 42 | | (L) the Executive Council of Physical Therapy and |
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43 | 43 | | Occupational Therapy Examiners; |
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44 | 44 | | (M) the Texas Behavioral Health Executive |
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45 | 45 | | Council; and |
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46 | 46 | | (N) the State Board of Veterinary Medical |
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47 | 47 | | Examiners; and |
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48 | 48 | | (2) four members with relevant health care experience, |
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49 | 49 | | including experience in health professions workforce planning or |
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50 | 50 | | complex health care data analysis, appointed by the governor. |
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51 | 51 | | (b) A council member serves at the pleasure of the |
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52 | 52 | | appointing authority. |
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53 | 53 | | (c) A vacancy on the council shall be filled in the same |
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54 | 54 | | manner as the original appointment. |
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55 | 55 | | Sec. 104A.004. DUTIES. The council shall: |
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56 | 56 | | (1) compile from each state agency with a |
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57 | 57 | | representative appointed to the council under Section |
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58 | 58 | | 104A.003(a)(1) information regarding the health professions |
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59 | 59 | | workforce, including: |
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60 | 60 | | (A) high school graduation rates from the Texas |
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61 | 61 | | Education Agency; |
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62 | 62 | | (B) higher education graduation and |
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63 | 63 | | certification rates from the Texas Higher Education Coordinating |
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64 | 64 | | Board; |
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65 | 65 | | (C) health professions workforce shortages; |
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66 | 66 | | (D) the number of licensed health care |
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67 | 67 | | professionals regulated by each participating licensing state |
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68 | 68 | | agency; |
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69 | 69 | | (E) federal labor statistics regarding health |
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70 | 70 | | professions; and |
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71 | 71 | | (F) any other information relevant to the supply |
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72 | 72 | | and demand of health care professionals; |
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73 | 73 | | (2) prepare the strategic plan described by Section |
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74 | 74 | | 104A.005; and |
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75 | 75 | | (3) establish the work group described by Section |
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76 | 76 | | 104A.006. |
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77 | 77 | | Sec. 104A.005. STRATEGIC PLAN. (a) The council shall |
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78 | 78 | | examine the health professions in this state based on the |
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79 | 79 | | information compiled under Section 104A.004(1) and biennially |
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80 | 80 | | prepare a health professions strategic plan. The plan must: |
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81 | 81 | | (1) include a data analysis model demonstrating the |
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82 | 82 | | supply, demand, production, and projected need for the next 10 |
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83 | 83 | | years of the health professions workforce; |
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84 | 84 | | (2) define targeted goals and objectives for the |
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85 | 85 | | health professions workforce, including short-term and long-term |
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86 | 86 | | strategies for each state agency participating in the council and |
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87 | 87 | | local workforce planning agencies to build a thriving health care |
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88 | 88 | | system; |
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89 | 89 | | (3) identify immediate shortages in health |
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90 | 90 | | professions; |
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91 | 91 | | (4) define goals for this state to support the health |
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92 | 92 | | care needs of a growing population; |
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93 | 93 | | (5) examine this state's capacity to satisfy future |
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94 | 94 | | health profession demands based on the existing education programs |
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95 | 95 | | offered and current trends of interstate migration, attrition, and |
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96 | 96 | | other relevant workforce factors; |
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97 | 97 | | (6) propose recommendations to realign existing |
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98 | 98 | | workforce and education programs; |
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99 | 99 | | (7) propose the development of additional education |
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100 | 100 | | programs for health professions that align with the long-term goals |
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101 | 101 | | and projections identified in the plan; |
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102 | 102 | | (8) identify systemic causes of workforce shortages |
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103 | 103 | | for health professions; and |
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104 | 104 | | (9) inventory programs and services, including state |
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105 | 105 | | funding amounts provided for workforce planning and preparation and |
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106 | 106 | | for health professional education. |
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107 | 107 | | (b) Not later than October 1 of each even-numbered year, the |
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108 | 108 | | council shall complete and publish on the council's Internet |
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109 | 109 | | website the strategic plan described by Subsection (a). |
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110 | 110 | | Sec. 104A.006. WORK GROUP. (a) The council shall establish |
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111 | 111 | | a work group to examine the health professions and health care |
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112 | 112 | | education programs that provide a gateway into a variety of health |
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113 | 113 | | professions. The work group consists of members of the council or |
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114 | 114 | | their designees. |
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115 | 115 | | (b) The work group shall: |
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116 | 116 | | (1) identify sources for gathering information on |
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117 | 117 | | gateway health professions; and |
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118 | 118 | | (2) build a data analysis model to monitor the |
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119 | 119 | | historical growth of gateway health professions. |
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120 | 120 | | SECTION 2. Section 56.3075(a), Education Code, is amended |
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121 | 121 | | to read as follows: |
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122 | 122 | | (a) If the money available for TEXAS grants in a period for |
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123 | 123 | | which grants are awarded is sufficient to provide grants to all |
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124 | 124 | | eligible applicants in amounts specified by Section 56.307, the |
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125 | 125 | | coordinating board may use any excess money available for TEXAS |
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126 | 126 | | grants to award a grant in an amount not more than three times the |
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127 | 127 | | amount that may be awarded under Section 56.307 to a student who: |
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128 | 128 | | (1) is enrolled in a program that fulfills the |
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129 | 129 | | educational requirements for licensure or certification by the |
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130 | 130 | | state in a health care profession that the coordinating board, in |
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131 | 131 | | consultation with the Texas Workforce Commission and the Department |
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132 | 132 | | of State Health Services [statewide health coordinating council], |
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133 | 133 | | has identified as having a critical shortage in the number of |
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134 | 134 | | license holders needed in this state; |
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135 | 135 | | (2) has completed at least one-half of the work toward |
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136 | 136 | | a degree or certificate that fulfills the educational requirement |
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137 | 137 | | for licensure or certification; and |
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138 | 138 | | (3) meets all the requirements to receive a grant |
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139 | 139 | | award under Section 56.307. |
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140 | 140 | | SECTION 3. Section 56.4075(a), Education Code, is amended |
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141 | 141 | | to read as follows: |
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142 | 142 | | (a) The coordinating board may award a grant in an amount |
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143 | 143 | | not more than three times the amount that may be awarded under |
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144 | 144 | | Section 56.407 to a student who: |
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145 | 145 | | (1) is enrolled in a program that fulfills the |
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146 | 146 | | educational requirements for licensure or certification by the |
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147 | 147 | | state in a health care profession that the coordinating board, in |
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148 | 148 | | consultation with the Texas Workforce Commission and the Department |
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149 | 149 | | of State Health Services [statewide health coordinating council], |
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150 | 150 | | has identified as having a critical shortage in the number of |
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151 | 151 | | license holders needed in this state; |
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152 | 152 | | (2) has completed at least one-half of the work toward |
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153 | 153 | | a degree or certificate that fulfills the educational requirement |
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154 | 154 | | for licensure or certification; and |
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155 | 155 | | (3) meets all the requirements to receive a grant |
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156 | 156 | | award under Section 56.407. |
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157 | 157 | | SECTION 4. Section 61.9641, Education Code, is amended to |
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158 | 158 | | read as follows: |
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159 | 159 | | Sec. 61.9641. DEFINITION [DEFINITIONS]. In this |
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160 | 160 | | subchapter, "clinical [: |
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161 | 161 | | [(1) "Clinical] site" means an acute care or |
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162 | 162 | | rehabilitation facility, a primary care setting, a long-term care |
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163 | 163 | | facility, a nursing home, a residential care setting, or any other |
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164 | 164 | | site identified by the board as providing clinical learning |
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165 | 165 | | experiences for nursing students. |
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166 | 166 | | [(2) "Nursing advisory committee" means the nursing |
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167 | 167 | | advisory committee established under Section 104.0155, Health and |
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168 | 168 | | Safety Code.] |
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169 | 169 | | SECTION 5. Section 61.9642(a), Education Code, is amended |
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170 | 170 | | to read as follows: |
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171 | 171 | | (a) The board[, in consultation with the nursing advisory |
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172 | 172 | | committee,] shall establish and administer a program to award |
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173 | 173 | | grants to eligible clinical sites to support the use of nurse |
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174 | 174 | | preceptors in providing clinical training to nursing students. |
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175 | 175 | | SECTION 6. Section 61.9646(a), Education Code, is amended |
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176 | 176 | | to read as follows: |
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177 | 177 | | (a) The [In consultation with the nursing advisory |
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178 | 178 | | committee, the] board shall allocate funds appropriated for |
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179 | 179 | | purposes of this subchapter and any other funds received as |
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180 | 180 | | described by Subsection (b) as the board considers appropriate to |
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181 | 181 | | further the purposes of this subchapter. |
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182 | 182 | | SECTION 7. Section 61.9647, Education Code, is amended to |
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183 | 183 | | read as follows: |
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184 | 184 | | Sec. 61.9647. RULES. The [In consultation with the nursing |
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185 | 185 | | advisory committee, the] board shall adopt rules for the |
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186 | 186 | | administration of the grant programs established under this |
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187 | 187 | | subchapter. The rules must include: |
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188 | 188 | | (1) administrative provisions relating to the |
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189 | 189 | | awarding of grants under this subchapter, such as: |
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190 | 190 | | (A) eligibility criteria for clinical sites or |
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191 | 191 | | institutions of higher education, as applicable; |
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192 | 192 | | (B) grant application procedures; |
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193 | 193 | | (C) guidelines relating to grant amounts; |
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194 | 194 | | (D) procedures for evaluating grant |
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195 | 195 | | applications; and |
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196 | 196 | | (E) procedures for monitoring the use of grants; |
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197 | 197 | | and |
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198 | 198 | | (2) methods for tracking the effectiveness of grants |
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199 | 199 | | that: |
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200 | 200 | | (A) use data reasonably available to the board or |
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201 | 201 | | the Texas Center for Nursing Workforce Studies; and |
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202 | 202 | | (B) evaluate transferability and scalability of |
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203 | 203 | | innovation programs. |
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204 | 204 | | SECTION 8. Sections 32.046(c) and (d), Health and Safety |
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205 | 205 | | Code, are amended to read as follows: |
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206 | 206 | | (c) The commission shall coordinate with the department, |
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207 | 207 | | [the statewide health coordinating council,] the office of mental |
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208 | 208 | | health coordination, and the statewide behavioral health |
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209 | 209 | | coordinating council in developing the strategic plan. |
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210 | 210 | | (d) The commission, in consultation with the department, |
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211 | 211 | | [the statewide health coordinating council,] the office of mental |
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212 | 212 | | health coordination, and the statewide behavioral health |
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213 | 213 | | coordinating council, shall annually review and update, as |
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214 | 214 | | necessary, the strategic plan. |
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215 | 215 | | SECTION 9. Sections 32.047(d) and (e), Health and Safety |
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216 | 216 | | Code, are amended to read as follows: |
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217 | 217 | | (d) The commission shall coordinate with the department |
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218 | 218 | | [and the statewide health coordinating council] in the development |
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219 | 219 | | of the strategic plan. |
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220 | 220 | | (e) The commission, in consultation with the department |
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221 | 221 | | [and the statewide health coordinating council], shall annually |
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222 | 222 | | review the strategic plan and update the plan as necessary. |
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223 | 223 | | SECTION 10. Section 105.001(2), Health and Safety Code, is |
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224 | 224 | | amended to read as follows: |
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225 | 225 | | (2) "Council" means the Health Professions Workforce |
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226 | 226 | | Coordinating Council [statewide health coordinating council]. |
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227 | 227 | | SECTION 11. Section 105.002(b), Health and Safety Code, is |
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228 | 228 | | amended to read as follows: |
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229 | 229 | | (b) To [In conjunction with the committee formed under |
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230 | 230 | | Section 104.0155, to] avoid duplication of effort, and to the |
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231 | 231 | | extent funding is available through fees collected under Section |
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232 | 232 | | 301.155(c), Occupations Code, the council shall establish a nursing |
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233 | 233 | | resource section within the center for the collection and analysis |
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234 | 234 | | of educational and employment trends for nurses in this state. |
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235 | 235 | | SECTION 12. Section 222.022(2), Health and Safety Code, is |
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236 | 236 | | amended to read as follows: |
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237 | 237 | | (2) "Health care facility" means a public or private |
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238 | 238 | | hospital, skilled nursing facility, intermediate care facility, |
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239 | 239 | | ambulatory surgical center, family planning clinic that performs |
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240 | 240 | | ambulatory surgical procedures, rural or urban health initiative |
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241 | 241 | | clinic, end stage renal disease facility, and inpatient |
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242 | 242 | | rehabilitation facility. The term does not include the office of |
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243 | 243 | | physicians or practitioners of the healing arts practicing |
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244 | 244 | | individually or in groups or [has the meaning assigned by Section |
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245 | 245 | | 104.002, except that the term does not include] a chemical |
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246 | 246 | | dependency treatment facility licensed by the Department of State |
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247 | 247 | | Health Services under Chapter 464. |
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248 | 248 | | SECTION 13. The following provisions of the Health and |
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249 | 249 | | Safety Code are repealed: |
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250 | 250 | | (1) Chapter 104; |
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251 | 251 | | (2) Section 105.011(c); and |
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252 | 252 | | (3) Section 311.033(d). |
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253 | 253 | | SECTION 14. (a) On the effective date of this Act, the |
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254 | 254 | | following are abolished: |
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255 | 255 | | (1) the statewide health coordinating council |
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256 | 256 | | established under Subchapter B, Chapter 104, Health and Safety |
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257 | 257 | | Code, and the council member terms expire; and |
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258 | 258 | | (2) the nursing advisory committee established under |
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259 | 259 | | Section 104.0155, Health and Safety Code, and the committee member |
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260 | 260 | | terms expire. |
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261 | 261 | | (b) On the effective date of this Act, any appropriation to |
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262 | 262 | | and any unexpended, unobligated funds of the statewide health |
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263 | 263 | | coordinating council or the nursing advisory committee is an |
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264 | 264 | | appropriation to the Department of State Health Services for |
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265 | 265 | | purposes of establishing and providing administrative support to |
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266 | 266 | | the Health Professions Workforce Coordinating Council. The |
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267 | 267 | | department and council assume all obligations, property, rights, |
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268 | 268 | | and duties of the statewide health coordinating council and the |
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269 | 269 | | nursing advisory committee. |
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270 | 270 | | SECTION 15. (a) Not later than October 1, 2025, the |
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271 | 271 | | appropriate entities shall designate members of the Health |
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272 | 272 | | Professions Workforce Coordinating Council established under |
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273 | 273 | | Chapter 104A, Health and Safety Code, as added by this Act. |
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274 | 274 | | (b) Not later than October 1, 2026, the Health Professions |
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275 | 275 | | Workforce Coordinating Council established under Chapter 104A, |
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276 | 276 | | Health and Safety Code, as added by this Act, shall publish its |
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277 | 277 | | initial strategic plan as required by Section 104A.005, Health and |
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278 | 278 | | Safety Code, as added by this Act. |
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279 | 279 | | SECTION 16. This Act takes effect September 1, 2025. |
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