By: Dukes, Riddle (Senate Sponsor - Zaffirini) H.B. No. 1677
(In the Senate - Received from the House April 22, 2005;
April 25, 2005, read first time and referred to Committee on Health
and Human Services; May 5, 2005, reported favorably by the
following vote: Yeas 9, Nays 0; May 5, 2005, sent to printer.)
A BILL TO BE ENTITLED
AN ACT
relating to establishing a sentinel surveillance program for
respiratory syncytial virus.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subtitle D, Title 2, Health and Safety Code, is
amended by adding Chapter 96 to read as follows:
CHAPTER 96. RESPIRATORY SYNCYTIAL VIRUS
Sec. 96.001. DEFINITIONS. In this chapter:
(1) "Department" means the Department of State Health
Services.
(2) "Executive commissioner" means the executive
commissioner of the Health and Human Services Commission.
(3) "Health facility" includes:
(A) a general or special hospital licensed by the
department under Chapter 241;
(B) a physician-owned or physician-operated
clinic;
(C) a publicly or privately funded medical
school;
(D) a state hospital or state school maintained
and managed by the Department of State Health Services or the
Department of Aging and Disability Services;
(E) a public health clinic conducted by a local
health unit, health department, or public health district organized
and recognized under Chapter 121; and
(F) another facility specified by a rule adopted
by the executive commissioner.
(4) "Local health unit" has the meaning assigned by
Section 121.004.
(5) "RSV" means respiratory syncytial virus.
Sec. 96.002. CONFIDENTIALITY. (a) Except as specifically
authorized by this chapter, reports, records, and information
furnished to a department employee or to an authorized agent of the
department that relate to cases or suspected cases of a health
condition are confidential and may be used only for the purposes of
this chapter.
(b) Reports, records, and information relating to cases or
suspected cases of health conditions are not public information
under Chapter 552, Government Code, and may not be released or made
public on subpoena or otherwise except as provided by this chapter.
(c) The department may release medical, epidemiological, or
toxicological information:
(1) for statistical purposes, if released in a manner
that prevents the identification of any person;
(2) to medical personnel, appropriate state agencies,
health authorities, regional directors, and public officers of
counties and municipalities as necessary to comply with this
chapter and rules relating to the identification, monitoring, and
referral of children with RSV; or
(3) to appropriate federal agencies, such as the
Centers for Disease Control and Prevention of the United States
Public Health Service.
Sec. 96.003. LIMITATION OF LIABILITY. A health
professional, a health facility, or an administrator, officer, or
employee of a health facility subject to this chapter is not civilly
or criminally liable for divulging information required to be
released under this chapter, except in a case of gross negligence or
wilful misconduct.
Sec. 96.004. COOPERATION OF GOVERNMENTAL ENTITIES. Another
state board, commission, agency, or governmental entity capable of
assisting the department in carrying out the intent of this chapter
shall cooperate with the department and furnish expertise,
services, and facilities to the sentinel surveillance program.
Sec. 96.005. SENTINEL SURVEILLANCE PROGRAM. (a) The
executive commissioner shall establish in the department a program
to:
(1) identify by sentinel surveillance RSV infection in
children; and
(2) maintain a central database of
laboratory-confirmed cases of RSV that can be used to investigate
the incidence, prevalence, and trends of RSV.
(b) In establishing the sentinel surveillance program for
RSV, the executive commissioner shall consider:
(1) the number and geographic distribution of children
in the state;
(2) the location of health facilities that collect RSV
information locally; and
(3) the use of existing data collected by health
facilities.
(c) The executive commissioner shall adopt rules to govern
the operation of the program and carry out the intent of this
chapter, including rules that specify a system for selecting the
demographic areas in which the department collects information.
Sec. 96.006. DATA COLLECTION. (a) To ensure an accurate
source of data, the executive commissioner may require a health
facility or health professional to make available for review by the
department or by an authorized agent medical records or other
information that is in the facility's or professional's custody or
control and that relates to an occurrence of RSV.
(b) The executive commissioner by rule shall prescribe the
manner in which data are reported to the department.
Sec. 96.007. DATABASE. (a) Information collected and
analyzed by the department or an authorized agent under this
chapter may be placed in a central database to facilitate
information sharing and provider education.
(b) The department may use the database to:
(1) design and evaluate measures to prevent the
occurrence of RSV and other health conditions; and
(2) provide information and education to providers on
the incidence of RSV infection.
SECTION 2. Not later than November 1, 2005, the executive
commissioner of the Health and Human Services Commission shall
adopt rules as required by Section 96.005, Health and Safety Code,
as added by this Act.
SECTION 3. This Act takes effect September 1, 2005.
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