| |
| |
| |
|
|
AN ACT
|
|
|
relating to the diabetes mellitus registry pilot program. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Section 1, Chapter 706 (H.B. 2132), Acts of the |
|
|
80th Legislature, Regular Session, 2007, is amended by amending |
|
|
Subsections (c), (d), and (e) and adding Subsections (d-1) and (g) |
|
|
to read as follows: |
|
|
(c) The department shall select to participate in the pilot |
|
|
program a public health district that serves a county with a |
|
|
population of less than two million and contains a municipality |
|
|
with a population of over one million. The department and the |
|
|
public health district shall create an electronic registry to track |
|
|
the glycosylated hemoglobin level and the diagnosis codes of each |
|
|
person who has a laboratory test to determine that level performed |
|
|
at a clinical laboratory in the district. |
|
|
(d) Except as provided by Subsection (d-1), a physician |
|
|
practicing in the participating public health district who, on or |
|
|
after November 1, 2009, orders a glycosylated hemoglobin test for a |
|
|
patient shall submit to the clinical laboratory the diagnosis codes |
|
|
of a patient along with the patient's sample. A clinical laboratory |
|
|
located in the participating public health district shall submit to |
|
|
the district and the department for a patient whose diagnosis codes |
|
|
were submitted with the patient's sample the results of the |
|
|
patient's [each] glycosylated hemoglobin test along with the |
|
|
diagnosis codes provided by the physician for that patient [that
|
|
|
the laboratory performs]. |
|
|
(d-1) A physician who orders a glycosylated hemoglobin test |
|
|
for a patient must provide the patient with a form developed by the |
|
|
department that allows the patient to opt out of having the |
|
|
patient's information included in the registry. If the patient |
|
|
opts out by signing the form, the physician: |
|
|
(1) shall keep the form in the patient's medical |
|
|
records; and |
|
|
(2) may not submit to the clinical laboratory the |
|
|
patient's diagnosis codes along with the patient's sample. |
|
|
(e) The department and the participating public health |
|
|
district shall: |
|
|
(1) compile results submitted under Subsection (d) of |
|
|
this section in order to track: |
|
|
(A) the prevalence of diabetes mellitus among |
|
|
people tested in the district; |
|
|
(B) the level of diabetic control for the |
|
|
patients with diabetes mellitus in each demographic group [exert
|
|
|
over the diabetes mellitus]; |
|
|
(C) the trends of new diagnoses of diabetes |
|
|
mellitus in the district; and |
|
|
(D) the health care costs associated with |
|
|
diabetes mellitus and glycosylated hemoglobin testing; and |
|
|
(2) promote discussion and public information |
|
|
programs regarding diabetes mellitus. |
|
|
(g) Not later than October 1, 2009, the department shall |
|
|
develop and make available on its Internet website the form |
|
|
required under Subsection (d-1). |
|
|
SECTION 2. Section 2, Chapter 706 (H.B. 2132), Acts of the |
|
|
80th Legislature, Regular Session, 2007, is amended to read as |
|
|
follows: |
|
|
Sec. 2. RULES. The executive commissioner of the Health and |
|
|
Human Services Commission shall adopt rules to implement Section 1 |
|
|
of this Act, including rules to govern the format and method of |
|
|
collecting glycosylated hemoglobin data and patient diagnosis |
|
|
codes. |
|
|
SECTION 3. Section 4, Chapter 706 (H.B. 2132), Acts of the |
|
|
80th Legislature, Regular Session, 2007, is amended to read as |
|
|
follows: |
|
|
Sec. 4. REPORT. Not later than December 1, 2010 [2009], the |
|
|
Department of State Health Services shall submit a report to the |
|
|
governor, lieutenant governor, speaker of the house of |
|
|
representatives, and appropriate standing committees of the |
|
|
legislature regarding the diabetes mellitus registry pilot program |
|
|
that includes: |
|
|
(1) an evaluation of the effectiveness of the pilot |
|
|
program; and |
|
|
(2) a recommendation to continue, expand, or eliminate |
|
|
the pilot program. |
|
|
SECTION 4. Section 5, Chapter 706 (H.B. 2132), Acts of the |
|
|
80th Legislature, Regular Session, 2007, is amended to read as |
|
|
follows: |
|
|
Sec. 5. EXPIRATION. This Act expires September 1, 2011 |
|
|
[2010]. |
|
|
SECTION 5. This Act takes effect September 1, 2009. |
| |
| |
| |
______________________________ |
______________________________ |
| |
President of the Senate |
Speaker of the House |
| |
| |
|
|
I certify that H.B. No. 1363 was passed by the House on April |
|
|
9, 2009, by the following vote: Yeas 148, Nays 0, 1 present, not |
|
|
voting; and that the House concurred in Senate amendments to H.B. |
|
|
No. 1363 on May 18, 2009, by the following vote: Yeas 128, Nays 14, |
|
|
2 present, not voting. |
|
|
|
|
|
______________________________ |
|
|
Chief Clerk of the House |
| |
|
|
I certify that H.B. No. 1363 was passed by the Senate, with |
|
|
amendments, on May 14, 2009, by the following vote: Yeas 31, Nays |
|
|
0. |
|
|
|
|
|
______________________________ |
|
|
Secretary of the Senate |
|
|
APPROVED: __________________ |
|
|
Date |
|
|
|
|
|
__________________ |
|
|
Governor |