88R5788 BEE-D
 
  By: Thierry H.B. No. 1165
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to medical education coursework in cultural competence and
  implicit bias.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter F, Chapter 51, Education Code, is
  amended by adding Section 51.310 to read as follows:
         Sec. 51.310.  CULTURAL COMPETENCE AND IMPLICIT BIAS MEDICAL
  EDUCATION COURSEWORK. (a) In this section:
               (1)  "Coordinating board" means the Texas Higher
  Education Coordinating Board.
               (2)  "Cultural competence" and "implicit bias" have the
  meanings assigned by Section 153.017, Occupations Code.
               (3)  "Medical school" has the meaning assigned by
  Section 61.501.
         (b)  The coordinating board by rule shall require a medical
  school to offer coursework in cultural competence and implicit bias
  approved by the Texas Medical Board under Section 153.017(b),
  Occupations Code.
         (c)  A medical school may not award a student a doctor of
  medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree
  unless the student has successfully completed the number of hours
  of coursework in cultural competence and implicit bias required by
  coordinating board rule.
         SECTION 2.  Subchapter A, Chapter 153, Occupations Code, is
  amended by adding Section 153.017 to read as follows:
         Sec. 153.017.  COURSEWORK IN CULTURAL COMPETENCE AND
  IMPLICIT BIAS. (a) In this section:
               (1)  "Cultural competence" means, with respect to
  health care, the ability to effectively address the health issues
  of individuals from diverse backgrounds by applying knowledge,
  empathy, and insight into the views on health that those
  backgrounds present.
               (2)  "Implicit bias" means:
                     (A)  bias in judgment or behavior that results
  from subtle cognitive processes, including implicit attitudes and
  stereotypes, that often operate at a level below conscious
  awareness and without intentional control; or
                     (B)  implicit attitudes and stereotypes that
  result in beliefs or simple associations that a person makes
  between an object and its evaluation that are automatically
  activated by the mere presence, actual or symbolic, of the attitude
  object.
         (b)  The board by rule shall approve coursework in cultural
  competence and implicit bias for purposes of Section 51.310,
  Education Code.
         (c)  Coursework approved under Subsection (b) must be:
               (1)  designed to address medical decisions and
  treatment relating to a person's race, ethnicity, nationality,
  language, sex, gender, physical and mental ability, and
  socioeconomic status; and
               (2)  developed in consultation with:
                     (A)  the Texas Higher Education Coordinating
  Board; and
                     (B)  the Association of American Medical Colleges
  or another nationally recognized organization that reviews medical
  school curricula.
         SECTION 3.  Not later than December 1, 2023, the Texas Higher
  Education Coordinating Board and the Texas Medical Board shall
  adopt the rules necessary to implement this Act.
         SECTION 4.  Section 51.310(c), Education Code, as added by
  this Act, applies only to a student who enrolls in a doctor of
  medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree
  program on or after January 1, 2024.
         SECTION 5.  This Act takes effect September 1, 2023.