By Raymond                                            H.B. No. 2348
         77R7582 YDB-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the Texas Diabetes Care Pilot Program.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1. Article 1, Chapter 1285, Acts of the 75th
 1-5     Legislature, Regular Session, 1997, is amended to read as follows:
 1-6                ARTICLE 1.  TEXAS DIABETES CARE PILOT PROGRAM
 1-7           SECTION 1.01. In this article:
 1-8                 (1)  "Commission" means the Health and Human Services
 1-9     Commission.
1-10                 (2)  "Council" means the Texas Diabetes Council.
1-11                 (3)  "Program" means the Texas Diabetes Care Pilot
1-12     Program established under this article.
1-13           SECTION 1.02. (a)  The Health and Human Services Commission
1-14     by rule shall develop a Texas Diabetes Care Pilot Program for
1-15     [initial] implementation in counties, selected by the commission,
1-16     with a high incidence of and a high death rate from diabetes.  The
1-17     selected counties must include border region counties selected by
1-18     the commission.
1-19           (b)  The program shall provide continuous care, including
1-20     preventive services such as structured outpatient diabetes
1-21     education, nutrition counseling, and case management, to Medicaid
1-22     recipients who have diabetes-related conditions.  [In developing
1-23     the program, the commission shall consider the program operated in
1-24     1993 and 1994 in Maryland.]
 2-1           (c)  The council [Texas Diabetes Council] shall administer
 2-2     the program under the direction of the commission.
 2-3           (d)  The [Except as provided by Section 1.04 of this article,
 2-4     the] commission and the council shall implement the program in the
 2-5     border region counties and other counties selected by the
 2-6     commission, not later than November 1, 2001 [1997].
 2-7           SECTION 1.03. (a)  Not later than September 1, 2002 [1998],
 2-8     the commission shall submit an interim written report to the
 2-9     lieutenant governor and the speaker of the house of representatives
2-10     on the effectiveness, including the cost-effectiveness, of the
2-11     program.
2-12           (b)  Not later than September 1, 2003 [1999], the commission
2-13     shall submit a final written report to the lieutenant governor and
2-14     the speaker of the house of representatives on the effectiveness,
2-15     including the cost-effectiveness, of the program.
2-16           SECTION 1.04. [If before implementing this article the
2-17     commission determines that a waiver or authorization from a federal
2-18     agency is necessary for implementation, the commission shall
2-19     request the waiver or authorization and may delay implementing this
2-20     section until the waiver or authorization is granted.]
2-21           [SECTION 1.05.] This article expires September 1, 2005
2-22     [2001].
2-23           SECTION 2. This Act takes effect immediately if it receives a
2-24     vote of two-thirds of all the members elected to each house, as
2-25     provided by Section 39, Article III, Texas Constitution.  If this
2-26     Act does not receive the vote necessary for immediate effect, this
2-27     Act takes effect on the 91st day after the last day of the
 3-1     legislative session.