By:  Lucio                                            S.B. No. 1456
         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.
 1-6           This act may be cited as the "Texas Pediatric Diabetes
 1-7     Research Act of 2001."
 1-8     Section 2.  FINDINGS.
 1-9           The legislature finds that:
1-10     One out of 300 school aged children in America has diagnosed
1-11     diabetes.
1-12     Pediatric diabetes rates are growing rapidly both in Type 1
1-13     (juvenile) diabetes, which is increasing 3-5% per year; and Type 2
1-14     in children has tripled between 1993 and 1998 and continues to
1-15     escalate.  Diabetes is manifesting at younger ages, both Type 1 and
1-16     Type 2, with many new cases being diagnosed before age 5, the
1-17     resultant costs for long term care and the potential of increasing
1-18     numbers of earlier complications is staggering.
1-19     Diabetes in children is one of the costliest and most devastating
1-20     chronic childhood conditions according to the Texas Diabetes
1-21     Council's January 2001 study, "Diabetes in Childhood and
1-22     Adolescence."
1-23     In 1997, 700,676 adults in Texas (5.1% of the adult population) had
 2-1     diagnosed diabetes.  An additional 5,104,725 children and adults in
 2-2     Texas were at increased risk for undiagnosed diabetes because of
 2-3     the risk factors of age, obesity and sedentary lifestyle.
 2-4     People in Texas with diabetes suffer from many diabetes related
 2-5     complications or conditions.  In 1997, this included 1,119 new
 2-6     cases of blindness; 4,974 lower extremity amputations; 2,816 new
 2-7     cases of end-stage renal disease.
 2-8     In 1997, there were 252,345 diabetes related hospitalizations in
 2-9     the State of Texas.
2-10     Diabetes contributed to the death of 13,061 residents of Texas in
2-11     1997
2-12     The cost of diabetes in Texas is enormous.  The direct cost
2-13     (medical care) and indirect cost (lost productivity and premature
2-14     mortality) of diabetes in Texas total over $9.2 billion in 1997.
2-15     Children who are Hispanic, African-American or Native American
2-16     decent are disproportionately affected by diabetes and are two to
2-17     three times more likely to develop diabetes than the general
2-18     population.
2-19     Section 3.  ESTABLISHMENT OF A PEDIATRIC DIABETES RESEARCH WORKING
2-20     GROUP IN THE TEXAS DEPARTMENT OF HEALTH
2-21     The Commissioner of the Texas Department of Health, in consultation
2-22     with the Texas Diabetes Council, shall establish a Pediatric
2-23     Diabetes Research-Plan Group, in this subsection referred to as the
2-24     "Working Group."  The Working Group shall conduct analysis for the
2-25     purpose of providing advice to the Legislature and Governor on the
2-26     development of a plan to investigate the scientific research
 3-1     opportunities for pediatric diabetes in the State of Texas; assess
 3-2     resources, talent and diabetes burden, both economic and health
 3-3     related.  The Working Group shall draft a comprehensive report with
 3-4     accompanying research funding recommendations.
 3-5           (1)  COMPOSITION
 3-6                 (a)  GENERALLY.  The Working Group shall in accordance
 3-7     with this subsection be composed of not more than 15 members
 3-8     appointed by the Commissioner of the Texas Department of Health in
 3-9     consultation with the Texas Diabetes Council.  It shall be
3-10     understood that special attention be given to selection of
3-11     representatives with clinical expertise in the areas of diabetes
3-12     and ophthalmology, pediatric endocrinology, child health and
3-13     development, neuropathy, genetics, cardiology and immunology.
3-14                 (b)  PARTICIPATION OF SELECT ENTITIES.  The members of
3-15     the Working Group shall include:
3-16                       (1)  The current Chairman of the Texas Diabetes
3-17     Council or his/her appointed representative;
3-18                       (2)  One or more representatives from the Texas
3-19     Department of Health;
3-20                       (3)  One or more representatives from the
3-21     Juvenile Diabetes Research Foundation;
3-22                       (4)  One or more representatives from the
3-23     American Diabetes Association;
3-24                       (5)  One or more research professionals from
3-25     Texas academic or biomedical research institutions currently
3-26     involved in diabetes research
 4-1                       (6)  One or more representatives from the health
 4-2     care industry.
 4-3           (c)  CHAIR.  The Commissioner of the Texas Department of
 4-4     Health with recommendation from the Texas Diabetes Council shall
 4-5     select a member of the Working Group to serve as the chair of the
 4-6     group.  The chair shall be an individual who was appointed to the
 4-7     Group from among individuals who are not officers or employees of
 4-8     the state.
 4-9                       (1).  The Working Group must meet at least four
4-10     times as called by the Chair.  The Working Group will work in
4-11     conjunction with a professional meeting facilitator with experience
4-12     in strategic planning.
4-13                       (2).  The Working Group may be compensated for
4-14     travel and materials only.
4-15                       (d)  DATE CERTAIN FOR APPOINTMENTS.  The
4-16     Commissioner of the Texas Department of Health shall complete
4-17     appointments to the Working Group not later than the expiration of
4-18     the 90 day period beginning on the date of enactment of this Act.
4-19                       (e)  TERMINATION.  The Working Group terminates
4-20     upon the expiration of the 30 day period beginning on the date on
4-21     which the plan referred to in Section 3 is submitted to the
4-22     legislature and Governor.