Bill Text: TX HB4121 | 2019-2020 | 86th Legislature | Introduced


Bill Title: Relating to the Texas Diabetes Council and the state plan for diabetes and obesity treatment and education.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2019-03-25 - Referred to Public Health [HB4121 Detail]

Download: Texas-2019-HB4121-Introduced.html
  86R7135 EAS-F
 
  By: Sheffield H.B. No. 4121
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the Texas Diabetes Council and the state plan for
  diabetes and obesity treatment and education.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 103.001(2), Health and Safety Code, is
  amended to read as follows:
               (2)  "Person with diabetes" means a person diagnosed
  [by a physician] as having diabetes based on nationally recognized
  standards.
         SECTION 2.  Sections 103.002(a), (b), and (c), Health and
  Safety Code, are amended to read as follows:
         (a)  The Texas Diabetes Council is composed of 11 citizen
  members appointed from the public and one representative each from
  the department, the commission, the Employees Retirement System of
  Texas, the Teacher Retirement System of Texas, and the Texas
  Workforce Commission vocational rehabilitation services division
  [Department of Assistive and Rehabilitative Services].
         (b)  The governor, with the advice and consent of the senate,
  shall appoint the following citizen members:
               (1)  a licensed physician with a specialization in
  treating diabetes;
               (2)  a registered nurse with a specialization in
  diabetes education and training;
               (3)  a registered and licensed dietitian with a
  specialization in the diabetes education field;
               (4)  a person with experience and training in public
  health policy;
               (5)  three consumer members, with special
  consideration given to persons active in the Texas affiliates of
  the Juvenile Diabetes Research Foundation (JDRF), the American
  Association of Diabetes Educators, or the American Diabetes
  Association; and
               (6)  four members from the general public with
  expertise or demonstrated commitment to diabetes issues.
         (c)  The commissioner, executive commissioner, executive
  director of the Employees Retirement System of Texas, executive
  director of the Teacher Retirement System of Texas, and the
  director of the Texas Workforce Commission vocational
  rehabilitation services division [commissioner of assistive and
  rehabilitative services] shall appoint that agency's
  representative to the council. Agency representatives shall be
  nonvoting members of the council.
         SECTION 3.  Section 103.011, Health and Safety Code, is
  amended to read as follows:
         Sec. 103.011.  ADVISORY COMMITTEES; WORK GROUPS. (a) The
  council may establish advisory committees or work groups that the
  council considers necessary and may determine the appropriate
  membership for each committee or group.
         (b)  The council shall specify the purpose and duties of each
  advisory committee or work group and shall specify any product the
  committee is required to develop.
         (c)  Members of an advisory committee or work group serve at
  the will of the council.  The council may dissolve an advisory
  committee or work group when necessary.
         SECTION 4.  Section 103.013(a) and (d), Health and Safety
  Code, are amended to read as follows:
         (a)  The department, with the assistance of the council,
  shall develop and implement a state plan for diabetes and obesity
  treatment, education, and training to ensure that:
               (1)  this chapter is properly implemented by the
  agencies affected;
               (2)  incentives are offered for private sources to
  maintain present commitments and to assist in developing new
  programs; and
               (3)  a procedure for review of individual complaints
  about services provided under this chapter is implemented.
         (d)  The department [council] shall submit the state plan to
  the state agency designated as the state health planning and
  development agency not later than November 1 of each odd-numbered
  year.
         SECTION 5.  Section 103.0131, Health and Safety Code, is
  amended to read as follows:
         Sec. 103.0131.  ASSESSMENT OF PROGRAMS TO PREVENT AND TREAT
  DIABETES. (a)  In conjunction with developing each state plan
  described in Section 103.013, the department, with the assistance
  of the council, shall conduct a statewide assessment of existing
  programs for the prevention of diabetes and treatment of
  individuals with diabetes that are administered by the commission
  or a health and human services agency, as defined by Section
  531.001, Government Code. As part of the assessment, the department 
  [council] shall collect data regarding:
               (1)  the number of individuals served by the programs;
               (2)  the areas where services to prevent diabetes and
  treat individuals with diabetes are unavailable; and
               (3)  the number of health care providers treating
  individuals with diabetes under the programs.
         (b)  Not later than November 1 of each odd-numbered year, the
  department [council] shall submit to the governor, the lieutenant
  governor, and the legislature a written report containing the
  findings of the assessment conducted under Subsection (a).
         SECTION 6.  Sections 103.014(a) and (c), Health and Safety
  Code, are amended to read as follows:
         (a)  The council shall address contemporary issues affecting
  health promotion services in the state, including:
               (1)  professional and patient education;
               (2)  evidence-based [successful] diabetes
  self-management education strategies;
               (3)  evidence-based strategies to achieve the council's
  mission [personnel preparation and continuing education];
               (4)  state expenditures for the prevention, detection,
  management, and treatment of diabetes and obesity [chronic
  diseases]; and
               (5)  [screening services; and
               [(6)]  public awareness of the specific risks and
  benefits of diabetes and obesity prevention, detection,
  management, and treatment.
         (c)  The council may establish priorities and make
  recommendations for program expenditures that align with the
  council's mission[:
               [(1)     compile and publish regional directories of
  services for persons with diabetes;
               [(2)     design or adapt and publish a handbook in English
  and Spanish relating to diet, exercise, and other self-care
  management skills for persons with diabetes;
               [(3)     study the feasibility of a statewide hotline for
  persons with diabetes; and
               [(4)     study the standards and structure of pilot
  programs to provide diabetes education and training in this state].
         SECTION 7.  Sections 103.017(a) and (c), Health and Safety
  Code, are amended to read as follows:
         (a)  The department, commission, and Texas Workforce
  Commission vocational rehabilitation services division [Department
  of Assistive and Rehabilitative Services] shall work with the
  council to jointly develop, produce, and implement a general public
  awareness strategy focusing on diabetes, its complications, and
  techniques for achieving good management. Each agency shall pay for
  the costs of producing and disseminating information on diabetes to
  clients served by that agency.
         (c)  The department, commission, and Texas Workforce
  Commission vocational rehabilitation services division [Department
  of Assistive and Rehabilitative Services] may jointly develop and
  implement a statewide plan for conducting regional training
  sessions for public and private service providers, including
  institutional health care providers, who have routine contact with
  persons with diabetes.
         SECTION 8.  Section 103.0175, Health and Safety Code, is
  amended to read as follows:
         Sec. 103.0175.  MATERIALS FOR SCHOOL-BASED AND
  SCHOOL-LINKED CLINICS. The council, in consultation with the
  department and the Texas Education Agency, shall develop and make
  available materials that provide information about diabetes to be
  distributed to students and the parents of students by health
  clinics at public primary or secondary schools.
         SECTION 9.  This Act takes effect September 1, 2019.
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