Amend CSHB 2510 on third reading as follows:
(1) On page 1, line 17, between "disease" and the period,
insert ", including acanthosis nigricans, as defined by Section
95.001, Health and Safety Code".
(2) On page 2, between lines 7 and 8, insert the following:
(h) In conducting its activities under this section, the
center shall consult with the Texas-Mexico Border Health
Coordination Office of The University of Texas-Pan American that
administers an acanthosis nigricans screening program under Chapter
95, Health and Safety Code.
(3) Add the following appropriately numbered SECTION to the
bill and renumber SECTIONS appropriately:
SECTION ___. (a) Subtitle D, Title 2, Health and Safety Code,
is amended by adding Chapter 95 to read as follows:
CHAPTER 95. ACANTHOSIS NIGRICANS SCREENING
Sec. 95.001. DEFINITIONS. In this chapter:
(1) "Acanthosis nigricans" means a light brown or
black velvety, rough, or thickened area on the surface of the skin
that may signal high insulin levels indicative of insulin
resistance.
(2) "Executive council" means the executive council
advising the Texas-Mexico Border Health Coordination Office of The
University of Texas-Pan American.
(3) "Office" means the Texas-Mexico Border Health
Coordination Office of The University of Texas-Pan American.
(4) "Professional examination" means an evaluation
performed by an appropriately licensed professional.
(5) "School" means an educational institution that
admits children who are five years of age or older but younger than
21 years of age.
(6) "Screening test" means a rapid analytical
procedure used to recommend appropriate measures or to determine
the need for further evaluation. The term does not include the
removal or partial removal of clothing.
Sec. 95.002. ACANTHOSIS NIGRICANS EDUCATION AND SCREENING
PROJECT. (a) The office shall administer an acanthosis nigricans
screening program in accordance with this chapter.
(b) The executive council by rule shall coordinate screening
of individuals who attend public or private schools located in
Texas Education Agency Regional Education Service Centers 1, 2, 3,
13, 15, 18, 19, and 20.
(c) The rules must include procedures necessary to
administer screening activities.
(d) The office shall require acanthosis nigricans screening
to be performed at the same time hearing and vision screening is
performed under Chapter 36 or spinal screening is performed under
Chapter 37.
(e) The office may coordinate the acanthosis nigricans
screening activities of school districts, private schools, state
agencies, volunteer organizations, and other entities so that the
efforts of each entity are complementary and not fragmented and
duplicative. The office may provide technical assistance to those
entities in developing screening programs and may provide
educational and other material to assist local screening
activities.
(f) The office shall monitor the quality of screening
activities provided under this chapter.
Sec. 95.003. COMPLIANCE WITH SCREENING REQUIREMENTS. (a)
Each individual required by rules adopted under this chapter to be
screened shall undergo approved screening for acanthosis nigricans.
The individual shall comply with the requirements as soon as
possible after the individual's admission to a school and as
required by rule. The individual or, if the individual is a minor,
the minor's parent, managing conservator, or guardian may
substitute a professional examination for the screening.
(b) An individual is exempt from screening if screening
conflicts with the tenets and practices of a recognized church or
religious denomination of which the individual is an adherent or a
member. To qualify for the exemption, the individual or, if the
individual is a minor, the individual's parent, managing
conservator, or guardian must submit to the chief administrator of
the school on or before the day of the screening procedure an
affidavit stating the objections to the screening.
(c) The chief administrator of each school shall ensure that
each individual admitted to the school complies with the screening
requirements set by the executive council or submits an affidavit
of exemption.
Sec. 95.004. RECORDS; REPORTS. (a) The chief administrator
of each school shall maintain, on a form prescribed by the
executive council, screening records for each individual in
attendance, and the records are open for inspection by the office
or the local health department.
(b) The office may, directly or through local health
departments, enter a school and inspect records maintained by the
school relating to screening for acanthosis nigricans.
(c) An individual's screening records may be transferred
among schools without the consent of the individual or, if the
individual is a minor, the minor's parent, managing conservator, or
guardian.
(d) The person performing the screening shall send a report
indicating that an individual may have acanthosis nigricans to the
individual or, if the individual is a minor, the minor's parent,
managing conservator, or guardian. The report must include:
(1) an explanation of acanthosis nigricans and related
conditions;
(2) a statement concerning an individual's or family's
need for further evaluation of conditions related to acanthosis
nigricans; and
(3) instructions to help the individual or family
receive evaluation and intervention by the school district.
(e) Each school shall submit to the office an annual report
on the screening status of the individuals in attendance during the
reporting year and shall include in the report any other
information required by the office. The report must be on a form
prescribed by the executive council and must be submitted according
to the executive council's rules.
(f) Not later than January 15 of each odd-numbered year, the
office shall submit to the governor and the legislature a report
concerning the effectiveness of the acanthosis nigricans screening
program established by this chapter.
(b) This section takes effect only if a specific
appropriation for the implementation of this Act is provided in
H.B. No. 1 (General Appropriations Act), Acts of the 77th
Legislature, Regular Session, 2001. If no specific appropriation
is provided in H.B. No. 1, the General Appropriations Act, this
section has no effect.