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.