88R19176 KKR-F
 
  By: Rose, A. Johnson of Harris, Oliverson H.B. No. 1488
 
  Substitute the following for H.B. No. 1488:
 
  By:  Klick C.S.H.B. No. 1488
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to sickle cell disease health care improvement and the
  sickle cell task force.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 533, Government Code, is
  amended by adding Section 533.0091 to read as follows:
         Sec. 533.0091.  SICKLE CELL DISEASE TREATMENT. To the
  extent possible, the commission shall:
               (1)  in collaboration with the sickle cell task force
  established under Chapter 52, Health and Safety Code:
                     (A)  support initiatives to assist managed care
  plans in promoting timely, evidence-informed health care services
  to plan enrollees diagnosed with sickle cell disease to ensure the
  services reflect national clinical practice guidelines and
  protocols for sickle cell disease treatment and meet medical
  necessity criteria; and
                     (B)  address sickle cell disease education for
  Medicaid providers, including emergency department providers, by
  collaborating with medical specialty organizations in this state,
  state agencies, and health-related institutions to promote
  existing or new continuing education courses or facilitate
  development of any necessary new courses to improve the diagnosis,
  treatment, and management of sickle cell disease and the personal
  treatment of patients with sickle cell disease; and
               (2)  use the commission's existing data to identify
  opportunities for improving health outcomes of recipients
  diagnosed with sickle cell disease by:
                     (A)  reducing hospital admissions and
  readmissions; and
                     (B)  connecting those recipients to a sickle cell
  disease health home or sickle cell disease expert.
         SECTION 2.  Sections 52.0003 and 52.0007, Health and Safety
  Code, are amended to read as follows:
         Sec. 52.0003.  COMPOSITION OF TASK FORCE. The task force is
  composed of the following members appointed by the executive
  commissioner:
               (1)  two members from community-based organizations
  with experience addressing the needs of individuals with sickle
  cell disease;
               (2)  two physicians specializing in hematology;
               (3)  three [two] members of the public, one of whom has
  sickle cell disease or sickle cell trait and two [each] of whom
  either have [has] sickle cell disease or are [is] a parent of a
  person with sickle cell disease or sickle cell trait; [and]
               (4)  one representative of a health-related
  institution;
               (5)  one representative of the Texas Education Agency;
               (6)  one representative of the commission;
               (7)  one physician with experience addressing the needs
  of individuals with sickle cell disease or sickle cell trait;
               (8)  one researcher from a public health-related or
  academic institution with experience addressing sickle cell
  disease and sickle cell trait; and
               (9)  one health care professional with experience
  addressing the needs of individuals with sickle cell disease or
  sickle cell trait.
         Sec. 52.0007.  ANNUAL REPORT. (a) Not later than December 1
  of each year, the task force shall prepare and submit to the
  governor and the legislature an annual written report that
  summarizes the task force's work and includes any recommended
  actions or policy changes endorsed by the task force.
         (b)  The task force shall, in collaboration with the
  commission, include in the task force's annual report
  recommendations for improving sickle cell disease education for
  health care providers.
         SECTION 3.  Chapter 52, Health and Safety Code, is amended by
  adding Section 52.0008 to read as follows:
         Sec. 52.0008.  EXPIRATION. The task force is abolished and
  this chapter expires August 31, 2035.
         SECTION 4.  Subtitle B, Title 2, Health and Safety Code, is
  amended by adding Chapter 52A to read as follows:
  CHAPTER 52A. SICKLE CELL DISEASE CARE EDUCATION AND TREATMENT
         Sec. 52A.001.  DEFINITION. In this chapter, "sickle cell
  task force" means the sickle cell task force established under
  Chapter 52.
         Sec. 52A.002.  EMERGENCY AND PRIMARY CARE MEDICINE GRADUATE
  MEDICAL EDUCATION PROGRAM CURRICULUM. (a) In this section,
  "graduate medical educational program" and "medical school" have
  the meanings assigned by Section 58A.001, Education Code.
         (b)  A medical school or graduate medical education program
  in this state that offers an emergency medicine, family medicine,
  internal medicine, obstetrics, or pediatrics residency program
  shall examine and, to the extent possible, incorporate in the
  curriculum requirements for the program education focused on sickle
  cell disease and sickle cell trait.  The medical school or graduate
  medical education program may enter into agreements as necessary
  for the purposes of this section.
         Sec. 52A.003.  INFORMATION FOR PUBLIC SCHOOL DISTRICT
  PERSONNEL. (a) To the extent possible, the Texas Education Agency
  in collaboration with sickle cell disease community-based
  organizations shall provide information on sickle cell disease and
  sickle cell trait to public school districts and district staff,
  including school nurses, teachers, and coaches.
         (b)  The commission in collaboration with the sickle cell
  task force shall explore methods for improving sickle cell disease
  education and awareness within the public school system and provide
  recommendations to the Texas Education Agency on the improvement
  methods.
         SECTION 5.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall appoint the new members of the sickle
  cell task force as required by Section 52.0003, Health and Safety
  Code, as amended by this Act.
         SECTION 6.  Section 52A.002, Health and Safety Code, as
  added by this Act, applies to residents entering an emergency
  medicine, family medicine, internal medicine, obstetrics, or
  pediatrics residency program at a medical school or graduate
  medical education program in this state on or after January 1, 2024.
         SECTION 7.  This Act takes effect September 1, 2023.