1-1     By:  McClendon, et al. (Senate Sponsor - Van de Putte) H.B. No. 342
 1-2           (In the Senate - Received from the House April 2, 2001;
 1-3     April 3, 2001, read first time and referred to Committee on Health
 1-4     and Human Services; May 7, 2001, reported adversely, with favorable
 1-5     Committee Substitute by the following vote:  Yeas 6, Nays 0;
 1-6     May 7, 2001, sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR H.B. No. 342                    By:  Madla
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to the study of disease management programs for children's
1-11     asthma.
1-12           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13           SECTION 1.  Subtitle D, Title 2, Health and Safety Code, is
1-14     amended by adding Chapter 95 to read as follows:
1-15        CHAPTER 95.  CHILDREN'S ASTHMA DISEASE MANAGEMENT PILOT STUDY
1-16           Sec. 95.001.  CHILDREN'S ASTHMA DISEASE MANAGEMENT PILOT
1-17     STUDY.  (a)  The department by rule shall establish a pilot study
1-18     to compare preventative disease management methods for treating
1-19     children's asthma with traditional methods of treating the disease.
1-20           (b)  The department shall conduct the pilot study in six
1-21     areas of the state, in urban and rural settings.
1-22           (c)  In conducting the pilot study the department shall use
1-23     disease management techniques that are transferable to private
1-24     practice and to other geographical areas of the state.
1-25           (d)  The pilot study may measure the following outcomes:
1-26                 (1)  school absenteeism;
1-27                 (2)  hospitalization;
1-28                 (3)  frequency of asthma symptoms;
1-29                 (4)  impact of the disease on the family; and
1-30                 (5)  economic effects of the disease, including:
1-31                       (A)  income lost by parents as a result of days
1-32     missed from work; and
1-33                       (B)  income lost by schools as a result of
1-34     student absenteeism.
1-35           (e)  In conducting the pilot study, the department may use
1-36     the expertise of an academic institution or nonprofit organization.
1-37           (f)  The department may use prospective simulation-based
1-38     analysis to project the outcomes in Subsection (d).
1-39           Sec. 95.002.  REPORT. (a)  Not later than November 1, 2002,
1-40     the department shall submit to the legislature an interim written
1-41     report containing the findings of the pilot study.
1-42           (b)  Not later than November 1, 2003, the department shall
1-43     submit to the legislature a final written report containing the
1-44     findings of the pilot study and the department's recommendations.
1-45           Sec. 95.003.  EXPIRATION DATE. This chapter expires September
1-46     1, 2005.
1-47           SECTION 2.  If before implementing Section 1 of this Act the
1-48     Texas Department of Health determines that a waiver or
1-49     authorization from a federal agency is necessary for
1-50     implementation, the appropriate department shall request the waiver
1-51     or authorization and may delay implementing those provisions until
1-52     the waiver or authorization is granted.
1-53           SECTION 3. This Act takes effect September 1, 2001.
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