86R10991 JG-D
  By: Johnson S.B. No. 916
  relating to supportive palliative care.
         SECTION 1.  Subtitle G, Title 2, Health and Safety Code, is
  amended by adding Chapter 142A to read as follows:
         Sec. 142A.0001.  DEFINITION. In this chapter, "supportive
  palliative care" means patient- and family-centered care provided
  without regard to a patient's age or terminal prognosis that:
               (1)  does not require the patient to decline methods of
  treatment or therapies that cure or minimize the effects of the
  patient's illness; and
               (2)  optimizes the quality of life for a patient with a
  life-threatening or limiting illness and the patient's family by:
                     (A)  anticipating, preventing, and treating the
  patient's pain related to the patient's physical, psychosocial,
  social, and spiritual condition;
                     (B)  addressing the physical, intellectual,
  emotional, cultural, social, and spiritual needs of the patient;
                     (C)  facilitating patient autonomy; and
                     (D)  ensuring the patient receives relevant
  information regarding treatment to enable the patient to provide
  informed consent.
         Sec. 142A.0002.  RULES AND MINIMUM STANDARDS. The executive
  commissioner, in collaboration with health care providers
  providing supportive palliative care services and other interested
  persons, shall adopt rules establishing minimum standards for the
  scope and delivery of supportive palliative care services,
  including rules that:
               (1)  distinguish supportive palliative care services
  from hospice services provided under Chapter 142; and
               (2)  coordinate and align the delivery of supportive
  palliative care services in various health care settings.
         Sec. 142A.0003.  PILOT PROGRAM. (a) The executive
  commissioner by rule may develop and implement a limited pilot
  program in one or more geographic areas of this state to coordinate
  the delivery of supportive palliative care services to vulnerable
  individuals with serious illnesses, as defined by rule by the
  executive commissioner.
         (b)  If the executive commissioner develops and implements a
  pilot program under this section, the executive commissioner shall,
  not later than the first anniversary of the date the pilot program
  expires, prepare and submit to the governor, lieutenant governor,
  and legislature a written report that summarizes the outcomes of
  the pilot program.
         (c)  This section expires September 1, 2025.
         SECTION 2.  Section 142.001(15), Health and Safety Code, is
  amended to read as follows:
               (15)  "Hospice services" means services, including
  services provided by unlicensed personnel under the delegation of a
  registered nurse or physical therapist, provided to a client or a
  client's family as part of a coordinated program consistent with
  the standards and rules adopted under this chapter. These services
  include palliative care other than supportive palliative care, as
  defined by Section 142A.0001, for terminally ill clients and
  support services for clients and their families that:
                     (A)  are available 24 hours a day, seven days a
  week, during the last stages of illness, during death, and during
                     (B)  are provided by a medically directed
  interdisciplinary team; and
                     (C)  may be provided in a home, nursing home,
  residential unit, or inpatient unit according to need. These
  services do not include inpatient care normally provided in a
  licensed hospital to a terminally ill person who has not elected to
  be a hospice client.
         SECTION 3.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall adopt the rules and minimum standards
  required by Chapter 142A, Health and Safety Code, as added by this
         SECTION 4.  This Act takes effect September 1, 2019.