88R22123 KKR-F
 
  By: Jones of Dallas, Oliverson, Rose, H.B. No. 2235
      Anderson, Wu, et al.
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to HIV and AIDS tests.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  The heading to Subchapter D, Chapter 85, Health
  and Safety Code, is amended to read as follows:
  SUBCHAPTER D. HIV TESTING, TESTING PROGRAMS, AND COUNSELING
         SECTION 2.  Subchapter D, Chapter 85, Health and Safety
  Code, is amended by adding Section 85.0815 to read as follows:
         Sec. 85.0815.  OPT-OUT HIV TESTING IN CERTAIN ROUTINE
  MEDICAL SCREENINGS. (a) A health care provider who takes a sample
  of an individual's blood as part of a medical screening may submit
  the sample for an HIV diagnostic test, regardless of whether an HIV
  test is part of a primary diagnosis, unless the individual opts out
  of the HIV test.
         (b)  Before taking a sample of an individual's blood as part
  of a medical screening, a health care provider must obtain the
  individual's consent for an HIV diagnostic test or inform the
  individual that an HIV diagnostic test will be performed unless the
  individual opts out of the HIV test.
         (c)  A health care provider who submits an individual's blood
  for an HIV diagnostic test shall provide to each individual who
  receives a positive test result information on available HIV health
  services and referrals to community support programs.
         (d)  The executive commissioner shall adopt rules to
  implement this section. In adopting rules, the executive
  commissioner must consider the most recent recommendations of the
  Centers for Disease Control and Prevention for HIV testing of
  adults and adolescents.
         SECTION 3.  Section 32.024, Human Resources Code, is amended
  by adding Subsection (ee) to read as follows:
         (ee)  The executive commissioner shall adopt rules to
  require the commission to provide an HIV test in accordance with
  Section 85.0815, Health and Safety Code, to an individual who
  receives medical assistance.
         SECTION 4.  If before implementing the change in law made by
  Section 32.024(ee), Human Resources Code, as added by this Act, a
  state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that change in
  law, the agency affected by the change in law shall request the
  waiver or authorization and may delay implementing that change in
  law until the waiver or authorization is granted.
         SECTION 5.  (a)  The executive commissioner of the Health
  and Human Services Commission shall adopt the rules required by
  Section 85.0815, Health and Safety Code, as added by this Act, and
  Section 32.024(ee), Human Resources Code, as added by this Act, not
  later than January 1, 2024.
         (b)  Notwithstanding Section 85.0815, Health and Safety
  Code, as added by this Act, a health care provider is not required
  to comply with that section until January 1, 2024.
         SECTION 6.  (a)  Notwithstanding any other section of this
  Act, in a state fiscal year, the Health and Human Services
  Commission is not required to implement a mandatory provision in
  another section of this Act imposing a duty on the commission to
  take an action unless money is specifically appropriated to the
  commission for that fiscal year to carry out that duty.  The
  commission may implement the provision in that fiscal year to the
  extent other funding is available to the commission for the
  implementation.
         (b)  If, as authorized by Subsection (a) of this section, the
  Health and Human Services Commission does not implement the
  mandatory provision in a state fiscal year, the commission, in the
  commission's legislative budget request for the next state fiscal
  biennium, shall certify that fact to the Legislative Budget Board
  and include a written estimate of the costs of implementing the
  provision in each year of that next state fiscal biennium.
         (c)  This section expires and any duty suspended by
  Subsection (a) of this section becomes mandatory on September 1,
  2027.
         SECTION 7.  This Act takes effect September 1, 2023.