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A BILL TO BE ENTITLED
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AN ACT
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relating to interoperable health information technology. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subtitle I, Title 2, Health and Safety Code, is |
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amended by adding Chapter 183 to read as follows: |
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CHAPTER 183. INTEROPERABLE HEALTH INFORMATION TECHNOLOGY. |
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Sec. 183.001. The state shall leverage its market power to |
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facilitate the adoption of health information technology the |
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development of an statewide interoperable health information |
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technology network The network must: |
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(1) provide secure aggregation and access to health |
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care data through the use of a federated health information |
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exchange infrastructure. |
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(2) provide cross-domain single sign-on allowing for |
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real-time data aggregation across disparate organizations and |
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systems; and |
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(3) be compatible with recognized national data |
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standards in order to allow for interstate interoperability. |
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Sec. 183.002 DEFINITIONS. In this chapter: |
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(1) "Health information technology" means the |
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application of information processing, involving both computer |
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hardware and software that deals with the storage, retrieval, |
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sharing and use of health care information, data and knowledge for |
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communication and decision-making, and includes: |
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(A) An electronic health record that provides |
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access in real-time to a patient's complete medical record; |
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(B) a personal health record through which an |
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individual, and anyone authorized by such individual, can maintain |
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and manage such individual's health information; |
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(C) computerized order entry technology that |
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permits a health care provider to order diagnostic and treatment |
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services, including prescription drugs electronically; |
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(D) electronic alerts and reminders to health |
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care providers to improve compliance with best practices, promote |
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regular screenings and other preventive practices, and facilitate |
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diagnoses and treatments; |
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(E) error notification procedures that generate |
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a warning if an order is entered that is likely to lead to a |
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significant adverse outcome for a patient; and |
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(F) tools to allow for the collection, analysis |
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and reporting of data on adverse events, near misses, the quality |
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and efficiency of care, patient satisfaction and other |
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healthcare-related performance measures. |
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(2) "Interoperability" means the ability of two or |
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more systems or components to exchange information and to use the |
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information that has been exchanged, including: |
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(A) The capacity to physically connect to a |
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secure network for the purpose of exchanging data with other users; |
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(B) the ability of a connected user to |
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demonstrate appropriate permissions to participate in the sharing |
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of information over the network; and |
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(C) the capacity of a connected user with such |
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permissions to access, transmit, receive and exchange usable |
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information with other users. |
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(3) "Standard electronic format" means a format using |
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open electronic standards that: |
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(A) Enable health information technology to be |
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used for the collection of clinically specific data; |
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(B) promote the interoperability of health care |
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information across health care settings, including reporting to |
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local, state and federal agencies; and |
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(C) facilitate clinical decision support. |
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Section 183.003. PRIVACY AND SECURITY. |
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The network is expected to adhere to all applicable state and |
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federal privacy laws and to adopt appropriate security measures |
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related to both to data within the network and the network itself. |
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Section 183.004. GRANTS TO PROVIDERS. |
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The state may establish and implement a program to provide grants to |
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providers in need of assistance in obtaining hardware and software |
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needed to access the network. The XXXX shall adopt rules to |
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establish eligibility criteria, including financial need |
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thresholds and allowable purchases under the grant program. |
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Sec. 183.005. FUNDING. (a) The network may be funded |
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through the General Appropriations Act and the state may request, |
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accept, and use gifts and grants as necessary. |
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SECTION 2. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2009. |