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.