By Capelo                                             H.B. No. 3155
         Line and page numbers may not match official copy.
         Bill not drafted by TLC or Senate E&E.
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the establishment of a Texas Pediatric Diabetes
 1-3     Research Working Group in the Texas Department of Health.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  SHORT TITLE. This act may be cited as the "Texas
 1-6     Pediatric Diabetes Research Act of 2001."
 1-7           SECTION 2.  FINDINGS. The legislature finds that:
 1-8           One out of 300 school aged children in America has diagnosed
 1-9     diabetes.
1-10           Pediatric diabetes rates are growing rapidly in both Type 1
1-11     (juvenile) diabetes, which is increasing 3-5% per year; and Type 2
1-12     in children has tripled between 1993 and 1998 and continues to
1-13     escalate.  Diabetes is manifesting at younger ages, both Type 1 and
1-14     Type 2, with many new cases being diagnosed before age 5, the
1-15     resultant costs for long term care and the potential of increasing
1-16     numbers of earlier complications is staggering.
1-17           Diabetes in children is one of the costliest and most
1-18     devastating chronic childhood conditions  according to the Texas
1-19     Diabetes Council's January 2001 study, "Diabetes in Childhood and
1-20     Adolescence."
1-21           In 1997, 700,676 adults in Texas (5.1% of the adult
1-22     population) had diagnosed diabetes. An additional 5,104,725
1-23     children and adults in Texas were at increased risk for undiagnosed
 2-1     diabetes because of the risk factors of age, obesity, and sedentary
 2-2     lifestyle.  People in Texas with diabetes suffer from many diabetes
 2-3     related complications or conditions.  In 1997, this included 1,119
 2-4     new cases of blindness; 4,974 lower extremity amputations; 2,816
 2-5     new cases of end-stage renal disease.
 2-6           In 1997, there were 252,345 diabetes related hospitalizations
 2-7     in the State of Texas.  Diabetes contributed to the death of 13,061
 2-8     residents of Texas in 1997  The cost of diabetes in Texas is
 2-9     enormous.  The direct cost (medical care) and indirect cost (lost
2-10     productivity and premature mortality) of diabetes in Texas total
2-11     over $9.2 billion in 1997.  Children who are Hispanic,
2-12     African-American or Native American descent are disproportionately
2-13     affected, by diabetes and are two to three times more likely to
2-14     develop diabetes than the general population.
2-15           SECTION 3.  ESTABLISHMENT OF A PEDIATRIC DIABETES RESEARCH
2-16     WORKING GROUP IN THE TEXAS DEPARTMENT OF HEALTH  The Commissioner
2-17     of the Texas Department of Health, in consultation with the Texas
2-18     Diabetes Council, shall establish a Pediatric Diabetes
2-19     Research-Plan Group, in this subsection referred to as the "Working
2-20     Group."  The Working Group shall conduct analysis for the purpose
2-21     of providing advice to the Legislature and Governor on the
2-22     development of a plan to investigate the scientific research
2-23     opportunities for pediatric diabetes in the State of Texas; assess
2-24     resources, talent and diabetes burden, both economic and health
2-25     related.  The Working Group shall draft a comprehensive report with
2-26     accompanying research funding recommendations.
 3-1           (1)  COMPOSITION
 3-2                 (a)  GENERALLY.  The Working Group shall in accordance
 3-3     with this subsection be composed of not more than 15 members
 3-4     appointed by the Commissioner of the Texas Department of Health in
 3-5     consultation with the Texas Diabetes Council. It shall be
 3-6     understood that special attention be given to selection of
 3-7     representatives with clinical expertise in the areas of diabetes
 3-8     and opthalmology, pediatric endocrinology, child health and
 3-9     development, neuropathy, genetics, cardiology and immunology.
3-10                 (b)  PARTICIPATION OF SELECT ENTITIES.  The members of
3-11     the Working Group shall include:
3-12                       (1)  The current Chairman of the Texas Diabetes
3-13     Council or his/her appointed representative;
3-14                       (2)  One or more representatives from the Texas
3-15     Department of Health;
3-16                       (3)  One or more representatives from the
3-17     Juvenile Diabetes Research Foundation;
3-18                       (4)  One or more representatives from the
3-19     American Diabetes Association;
3-20                       (5)  One or more research professionals from
3-21     Texas academic or biomedical research institutions currently
3-22     involved in diabetes research
3-23                       (6)  One or more representatives from the health
3-24     care industry.
3-25                 (c)  CHAIR.  The Commissioner of the Texas Department
3-26     of Health with recommendation from the Texas Diabetes Council shall
 4-1     select a member of the Working Group to serve as the chair of the
 4-2     group.  The chair shall be an individual who was appointed to the
 4-3     Group from among individuals who are not officers or employees of
 4-4     the state.
 4-5                       (1).  The Working Group must meet at least four
 4-6     times as called by the Chair.  The Working Group will work in
 4-7     conjunction with a professional meeting facilitator with experience
 4-8     in strategic planning.
 4-9                       (2).  The Working Group may be compensated for
4-10     travel and materials only.
4-11                       (d)  DATE CERTAIN FOR APPOINTMENTS.  The
4-12     Commissioner of the Texas Department of Health shall complete
4-13     appointments to the Working Group not later than the expiration of
4-14     the 90 day period beginning on the date of enactment of this Act.
4-15                       (e)  TERMINATION.  The Working Group terminates
4-16     upon the expiration of the 30 day period beginning on the date on
4-17     which the plan referred to in Section 3 is submitted to the
4-18     legislature and Governor.