|
|
|
A BILL TO BE ENTITLED
|
|
AN ACT
|
|
relating to the categorization, collection, and publication of |
|
certain demographic and other information pertaining to certain |
|
public benefits programs. |
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
SECTION 1. Subchapter B, Chapter 531, Government Code, is |
|
amended by adding Sections 531.0316 and 531.03161 to read as |
|
follows: |
|
Sec. 531.0316. COLLECTION OF DEMOGRAPHIC DATA. (a) |
|
Notwithstanding any other law, if the commission or a health and |
|
human services agency collects the demographic data of individuals |
|
who receive benefits under a health benefits program administered |
|
by the commission or agency, as applicable, the commission or |
|
agency, as applicable, shall, when collecting data relating to: |
|
(1) the race or ethnic origin of an individual, |
|
provide the individual the option to select or identify appropriate |
|
categories and subcategories of race and ethnic origin, including: |
|
(A) the category of Hispanic or Latino with the |
|
option to select or identify the following subcategories: |
|
(i) Argentinian; |
|
(ii) Colombian; |
|
(iii) Cuban; |
|
(iv) Dominican (Dominican Republic); |
|
(v) Ecuadoran; |
|
(vi) Guatemalan; |
|
(vii) Honduran; |
|
(viii) Mexican; |
|
(ix) Nicaraguan; |
|
(x) Panamanian; |
|
(xi) Peruvian; |
|
(xii) Puerto Rican; |
|
(xiii) Salvadoran; |
|
(xiv) Spaniard; |
|
(xv) Venezuelan; and |
|
(xvi) another subcategory written in by the |
|
individual; |
|
(B) the category of African American with the |
|
option to select or identify the following subcategories: |
|
(i) Black American (born in the United |
|
States with African ancestry); |
|
(ii) African diaspora (born outside the |
|
United States with African origins); and |
|
(iii) another subcategory written in by the |
|
individual; |
|
(C) the category of Native American with the |
|
option to select or identify the following subcategories: |
|
(i) Apache; |
|
(ii) Cherokee; |
|
(iii) Chickasaw; |
|
(iv) Choctaw; |
|
(v) Mexican American Indian; |
|
(vi) Navajo; and |
|
(vii) another subcategory written in by the |
|
individual; |
|
(D) the category of Pacific Islander with the |
|
option to select or identify the following subcategories: |
|
(i) Chamorro; |
|
(ii) Guamanian; |
|
(iii) Marshallese; |
|
(iv) Native Hawaiian; |
|
(v) Samoan; |
|
(vi) Tongan; and |
|
(vii) another subcategory written in by the |
|
individual; |
|
(E) the category of Asian with the option to |
|
select or identify the following subcategories: |
|
(i) Indian; |
|
(ii) Bangladeshi; |
|
(iii) Burmese; |
|
(iv) Cambodian; |
|
(v) Chinese (except Taiwanese); |
|
(vi) Filipino; |
|
(vii) Iranian; |
|
(viii) Japanese; |
|
(ix) Korean; |
|
(x) Laotian; |
|
(xi) Nepalese; |
|
(xii) Pakistani; |
|
(xiii) Taiwanese; |
|
(xiv) Thai; |
|
(xv) Vietnamese; and |
|
(xvi) another subcategory written in by the |
|
individual; and |
|
(F) the category of Middle Eastern and North |
|
African with the option to select or identify the following |
|
subcategories: |
|
(i) Egyptian; |
|
(ii) Iraqi; |
|
(iii) Jordanian; |
|
(iv) Lebanese; |
|
(v) Palestinian; |
|
(vi) Syrian; and |
|
(vii) another subcategory written in by the |
|
individual; |
|
(2) the sex or gender of an individual, ask the |
|
following questions: |
|
(A) "What is your current gender identity?" and, |
|
in response to the question, provide the individual the option to |
|
select or identify as: |
|
(i) female; |
|
(ii) intersex; |
|
(iii) male; |
|
(iv) nonbinary; |
|
(v) transgender female; |
|
(vi) transgender male; and |
|
(vii) another sex or gender written in by |
|
the individual; and |
|
(B) "What sex were you assigned on your original |
|
birth certificate or other legal document confirming birth?" and, |
|
in response to the question, provide the individual the option to |
|
select: |
|
(i) female; |
|
(ii) male; |
|
(iii) "I was not assigned a sex at birth"; |
|
or |
|
(iv) "I was not issued a birth certificate |
|
or other legal document confirming my birth"; and |
|
(3) more than one demographic category, include the |
|
sexual orientation of an individual as a category and provide the |
|
individual with the option to select or identify as: |
|
(A) asexual; |
|
(B) bisexual; |
|
(C) gay; |
|
(D) heterosexual; |
|
(E) lesbian; |
|
(F) pansexual; and |
|
(G) another sexual orientation written in by the |
|
individual. |
|
(b) The commission shall ensure that each local entity, |
|
including a local governmental entity, responsible for providing |
|
demographic data to the commission or a health and human services |
|
agency in connection with a public benefits program administered by |
|
the commission or agency, as applicable, provides the data in the |
|
manner prescribed by this section. |
|
(c) In collecting demographic data, the commission and each |
|
health and human services agency shall provide individuals from |
|
whom the data is sought the option to select more than one category |
|
for race or ethnic origin and more than one subcategory for race or |
|
ethnic origin. |
|
(d) The provision of demographic data under this section by |
|
an individual is voluntary. |
|
(e) Not later than the first anniversary of the date the |
|
federal decennial census is published, the commission shall update |
|
the subcategories of race or ethnic origin to include only the |
|
subcategories with populations larger than 7,500 as published by |
|
the United States Census Bureau, except that each category must |
|
include at least the six largest subcategories. |
|
(f) The executive commissioner shall adopt rules necessary |
|
to implement this section. |
|
Sec. 531.03161. COLLECTION AND CROSS-TABULATION ANALYSIS |
|
OF CERTAIN DATA; PUBLICATION. (a) The commission and each health |
|
and human services agency that administers a public benefits |
|
program shall collect the following data regarding individuals who |
|
receive, or were receiving at the time of the individual's death, |
|
benefits under a program: |
|
(1) the individual's level of English proficiency; and |
|
(2) whether the individual: |
|
(A) has a disability; |
|
(B) has health benefits coverage; |
|
(C) has been diagnosed with a chronic condition, |
|
including cancer, obesity, diabetes, or asthma; |
|
(D) has access to health care, including |
|
preventive care services; |
|
(E) has a diagnosed mental health disorder; |
|
(F) is or has been pregnant; |
|
(G) died as a result of a pregnancy-related |
|
cause; and |
|
(H) had a child who died as an infant. |
|
(b) To the extent permitted by federal law and if requested |
|
by the commission, a local entity, including a local governmental |
|
entity, responsible for providing demographic data to the |
|
commission or a health and human services agency in connection with |
|
a public benefits program administered by the commission or agency, |
|
as applicable, shall report to the commission the data described by |
|
Subsection (a) to the extent that data is known or obtainable by the |
|
entity. |
|
(c) The commission shall prepare a cross-tabulation |
|
analysis of the data described by Subsection (a) and the |
|
demographic data collected under Section 531.0316, including data |
|
related to the race or ethnic origin, sex or gender, and sexual |
|
orientation of individuals. The analysis conducted under this |
|
subsection must consider subcategories and suboptions. |
|
(d) Subject to Subsection (f) and to the extent permitted by |
|
federal law, the commission shall make available to the public on |
|
its Internet website in an easy-to-read format metric data obtained |
|
as the result of the cross-tabulation analysis conducted under this |
|
section and organized by the demographic data collected in |
|
accordance with Section 531.0316. The metric data published under |
|
this section must be organized by category and then by subcategory |
|
or suboption, as applicable. |
|
(e) The commission shall annually update the metric data |
|
published under Subsection (d). |
|
(f) The storage and communication of data under this section |
|
must comply with existing federal and state privacy laws governing |
|
individually identifiable information. Data made available to the |
|
public under this section may not identify or allow for the |
|
identification of individuals. |
|
(g) This section does not prevent a state agency from |
|
posting demographic data collected by the agency on the agency's |
|
Internet website. |
|
(h) The executive commissioner shall adopt rules necessary |
|
to implement this section. |
|
SECTION 2. Not later than December 1, 2024, the Health and |
|
Human Services Commission shall publish on its Internet website the |
|
metric data required under Section 531.03161(d), Government Code, |
|
as added by this Act. |
|
SECTION 3. If before implementing any provision of this Act |
|
a state agency determines that a waiver or authorization from a |
|
federal agency is necessary for implementation of that provision, |
|
the agency affected by the provision shall request the waiver or |
|
authorization and may delay implementing that provision until the |
|
waiver or authorization is granted. |
|
SECTION 4. This Act takes effect September 1, 2023. |