88R22124 KKR-F
 
  By: Jones of Dallas, Oliverson, Rose, H.B. No. 3377
      Anderson, Wu, et al.
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to HIV and AIDS tests.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  The heading to Subchapter D, Chapter 85, Health
  and Safety Code, is amended to read as follows:
  SUBCHAPTER D. HIV TESTING, TESTING PROGRAMS, AND COUNSELING
         SECTION 2.  Subchapter D, Chapter 85, Health and Safety
  Code, is amended by adding Section 85.0815 to read as follows:
         Sec. 85.0815.  OPT-OUT HIV TESTING IN MEDICAL SCREENINGS FOR
  SEXUALLY TRANSMITTED INFECTIONS. (a) A health care provider who
  takes a sample of an individual's blood as part of a medical
  screening for a sexually transmitted infection shall submit the
  sample for an HIV diagnostic test, regardless of whether an HIV test
  is part of a primary diagnosis, unless the individual opts out of
  the HIV test.
         (b)  Before taking a sample of an individual's blood as part
  of a medical screening for a sexually transmitted infection, a
  health care provider must obtain the individual's consent for an
  HIV diagnostic test or inform the individual that an HIV diagnostic
  test will be performed unless the individual opts out of the HIV
  test.
         (c)  A health care provider who submits an individual's blood
  for an HIV diagnostic test shall provide to each individual who
  receives a positive test result information on available HIV health
  services and referrals to community support programs.
         (d)  The executive commissioner shall adopt rules to
  implement this section. In adopting rules, the executive
  commissioner must consider the most recent recommendations of the
  Centers for Disease Control and Prevention for HIV testing of
  adults and adolescents.
         SECTION 3.  (a)  The executive commissioner of the Health and
  Human Services Commission shall adopt the rules required by Section
  85.0815, Health and Safety Code, as added by this Act, not later
  than January 1, 2024.
         (b)  Notwithstanding Section 85.0815, Health and Safety
  Code, as added by this Act, a health care provider is not required
  to comply with that section until January 1, 2024.
         SECTION 4.  (a)  Notwithstanding any other section of this
  Act, in a state fiscal year, the Health and Human Services
  Commission is not required to implement a mandatory provision in
  another section of this Act imposing a duty on the commission to
  take an action unless money is specifically appropriated to the
  commission for that fiscal year to carry out that duty.  The
  commission may implement the provision in that fiscal year to the
  extent other funding is available to the commission for the
  implementation.
         (b)  If, as authorized by Subsection (a) of this section, the
  Health and Human Services Commission does not implement the
  mandatory provision in a state fiscal year, the commission, in the
  commission's legislative budget request for the next state fiscal
  biennium, shall certify that fact to the Legislative Budget Board
  and include a written estimate of the costs of implementing the
  provision in each year of that next state fiscal biennium.
         (c)  This section expires and any duty suspended by
  Subsection (a) of this section becomes mandatory on September 1,
  2027.
         SECTION 5.  This Act takes effect September 1, 2023.