By Van de Putte H.B. No. 2530
76R8778 T
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to persons authorized to provide diabetes self-management
1-3 training.
1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-5 SECTION 1. Section 4, Article 21.53G, Insurance Code, is
1-6 amended to read as follows:
1-7 Sec. 4. (a) Diabetes self-management training under this
1-8 article must be provided by a health care practitioner or provider
1-9 who is licensed, registered, or certified in this state to provide
1-10 appropriate health care services, acting with the scope of practice
1-11 authorized by the practitioner's or provider's license,
1-12 registration or certification. Self-management training includes:
1-13 (1) training provided to a qualified insured after the
1-14 initial diagnosis of diabetes in the care and management of that
1-15 condition, including nutritional counseling and proper use of
1-16 diabetes equipment and supplies.
1-17 (2) additional training authorized on the diagnosis of
1-18 a physician or other health care practitioner of a significant
1-19 change in the qualified insured's symptoms or condition that
1-20 requires changes in the qualified insured's self-management regime;
1-21 and
1-22 (3) periodic or episodic continuing education training
1-23 when prescribed by an appropriate health care practitioner as
1-24 warranted by the development of new techniques and treatments for
2-1 diabetes. (insert current language & add something "and provide
2-2 services within the scope of their respective licenses")
2-3 (b) A health benefit plan shall provide diabetes
2-4 self-management training or coverage for diabetes self-management
2-5 training for which a physician or practitioner has written an order
2-6 to each insured from:
2-7 (1) a diabetes self-management training program
2-8 recognized by the American Diabetes Association;
2-9 (2) a multidisciplinary team, coordinated by a
2-10 Certified Diabetes Educator who is certified by the National
2-11 Certification Board for Diabetes Educators or a health care
2-12 professional who has completed at least twenty four hours of
2-13 approved continuing education that includes a combination of
2-14 diabetes, educational principles, and behavioral strategies,
2-15 consisting of at least a dietitian and a nurse educator, and which
2-16 may include a pharmacist and a social worker, and each member of
2-17 which, other than a social worker, must have recent didactic and
2-18 experiential preparation in diabetes clinical and educational
2-19 issues; or
2-20 (3) the following health care practitioners who may
2-21 provide a component or components of a diabetes self-management
2-22 training program:
2-23 (I) a licensed dietitian, who may provide any
2-24 nutritional counseling and related component;
2-25 (ii) a pharmacist, who may provide any
2-26 pharmaceutical and related component; or
2-27 (iii) a physician, a physician assistant,
3-1 a registered nurse, or an advance practice nurse, who may provide
3-2 any other component of the training; or
3-3 (iv) a Certified Diabetes Educator
3-4 certified by the National Certification Board for Diabetes
3-5 Educators.
3-6 (c) As used in this section, the term "nutritional
3-7 counseling" as the meaning assigned the term "nutrition counseling"
3-8 in Section 2(12), Article 4512h (Vernon's Revised Civil Statutes).
3-9 SECTION 2. The importance of this legislation and the
3-10 crowded condition of the calendars in both houses create an
3-11 emergency and an imperative public necessity that the
3-12 constitutional rule requiring bills to be read on three several
3-13 days in each house be suspended, and this rule is hereby suspended.