By: Madla S.B. No. 982 A BILL TO BE ENTITLED AN ACT 1-1 relating to persons authorized to provide diabetes self-management 1-2 training. 1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-4 SECTION 1. Section 4, Article 21.53G, Insurance Code, is 1-5 amended to read as follows: 1-6 Sec. 4. Diabetes Self-Management Training. (a) Diabetes 1-7 self-management training under this article must be provided by a 1-8 health care practitioner or provider who is licensed, registered, 1-9 or certified in this state to provide appropriate health care 1-10 services, acting within the scope of practice authorized by the 1-11 license, registration, or certification of the practitioner or 1-12 provider. 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. 2-2 (b) A health benefit plan shall provide diabetes 2-3 self-management training or coverage for diabetes self-management 2-4 training for which a physician or practitioner has written an order 2-5 to each insured or the caretaker of the insured from: 2-6 (1) a diabetes self-management training program 2-7 recognized by the American Diabetes Association; 2-8 (2) a multidisciplinary team, coordinated by a 2-9 Certified Diabetes Educator who is certified by the National 2-10 Certification Board for Diabetes Educators or a person who has 2-11 completed at least 24 hours of approved continuing education that 2-12 includes a combination of diabetes education, educational 2-13 principles, and behavioral strategies, consisting of at least a 2-14 dietitian and a nurse educator who collaborate routinely and which 2-15 may include a pharmacist and a social worker, and each member of 2-16 which, other than a social worker, must have recent didactic and 2-17 experiential preparation in diabetes clinical and educational 2-18 issues; 2-19 (3) a Certified Diabetes Educator who is certified by 2-20 the National Certification Board for Diabetes Educators; 2-21 (4) a licensed health care practitioner, including a 2-22 physician, a physician assistant, a registered nurse, a licensed 2-23 dietitian, or a pharmacist, who has been determined by the 2-24 practitioner's licensing board to have recent didactic and 2-25 experiential preparation in diabetes clinical and educational 2-26 issues; or 3-1 (5) the following licensed health care practitioners 3-2 or providers, who may provide a component or components of a 3-3 diabetes self-management training program: 3-4 (A) a licensed dietitian, who may provide any 3-5 nutritional counseling component; 3-6 (B) a pharmacist, who may provide any 3-7 pharmaceutical component; or 3-8 (C) a physician, a physician assistant, a 3-9 registered nurse, or an advanced practice nurse, who may provide 3-10 any other component of the training. 3-11 (c) In this section, the term "nutritional counseling" has 3-12 the meaning assigned the term "nutrition counseling" in Section 3-13 2(12), Licensed Dietitian Act (Article 4512h, Vernon's Texas Civil 3-14 Statutes). 3-15 (d) In consultation with the Texas Diabetes Council, the 3-16 appropriate licensing board of practitioners or providers 3-17 authorized to provide diabetes self-management training in 3-18 accordance with this section shall by rule determine the recent 3-19 didactic and experiential preparation in diabetes clinical and 3-20 educational issues required by this section to qualify licensees of 3-21 the board to provide the training and shall by rule determine and 3-22 define the component or components of diabetes self-management 3-23 training authorized by Subsections (b)(5)(B) and (C) of this 3-24 section. 3-25 SECTION 2. This Act takes effect September 1, 1999, and 3-26 applies only to a health benefit plan that is delivered, issued for 4-1 delivery, or renewed on or after January 1, 2000. A health benefit 4-2 plan that is delivered, issued for delivery, or renewed before 4-3 January 1, 2000, is governed by the law as it existed immediately 4-4 before the effective date of this Act, and that law is continued in 4-5 effect for that purpose. 4-6 SECTION 3. The importance of this legislation and the 4-7 crowded condition of the calendars in both houses create an 4-8 emergency and an imperative public necessity that the 4-9 constitutional rule requiring bills to be read on three several 4-10 days in each house be suspended, and this rule is hereby suspended.