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  By: Guillen (Senate Sponsor - Zaffirini) H.B. No. 2330
         (In the Senate - Received from the House April 14, 2009;
  April 27, 2009, read first time and referred to Committee on Health
  and Human Services; May 8, 2009, reported adversely, with
  favorable Committee Substitute by the following vote:  Yeas 9,
  Nays 0; May 8, 2009, sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR H.B. No. 2330 By:  Nelson
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to laboratory tests measuring kidney function.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 42.002, Health and Safety Code, is
  amended by adding Subdivisions (3) and (4) to read as follows:
               (3)  "Serum creatinine test" is a diagnostic test of a
  person's blood that measures the level of creatinine present in the
  blood.
               (4)  "Estimated glomerular filtration rate" is a
  calculation of a person's kidney function based on:
                     (A)  the person's age, race, and gender; and
                     (B)  the results of the person's serum creatinine
  test.
         SECTION 2.  Chapter 42, Health and Safety Code, is amended by
  adding Section 42.0047 to read as follows:
         Sec. 42.0047.  ESTIMATED GLOMERULAR FILTRATION RATE
  REPORTING. (a) A laboratory that performs a serum creatinine test
  on a sample from a person 18 years of age or older, at the discretion
  of the physician, shall also calculate and include in the reported
  results the person's estimated glomerular filtration rate if the
  laboratory receives along with the sample all relevant clinical
  information about the person necessary to calculate the person's
  estimated glomerular filtration rate.
         (b)  The requirements under Subsection (a) do not apply to:
               (1)  a laboratory that uses equipment to perform serum
  creatinine tests that cannot be reprogrammed to calculate the
  estimated glomerular filtration rate; or
               (2)  a laboratory performing a serum creatinine test on
  a sample taken from a patient who is being treated in a hospital.
         SECTION 3.  The change in law made by this Act applies only
  to a serum creatinine test performed on or after the effective date
  of this Act. A serum creatinine test performed before the effective
  date of this Act is covered by the law in effect immediately before
  that date, and the former law is continued in effect for that
  purpose.
         SECTION 4.  This Act takes effect September 1, 2009.
 
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