BILL ANALYSIS

Senate Research Center	C.S.S.B. 1677
89R21109 AB-D	By: Men�ndez
	Health & Human Services
	4/1/2025
	Committee Report (Substituted)

AUTHOR'S / SPONSOR'S STATEMENT OF INTENT

According to the American Diabetes Association, diabetes-related amputations are on the rise. In some cases, diabetes may lead to complications, including nerve damage, which if left unaddressed may require amputation of the affected limb. Each year, over 160,000 Americans undergo amputation, with approximately 80 percent of amputations of lower limbs being caused by diabetes complications. While amputations are needed to prevent further complications, an individual who has had an amputation is less likely to survive the five years following the amputation. Furthermore, certain counties in Texas have higher rates of diabetes-related amputations, with Bexar County having higher hospitalization rates for these amputations than any other county.

Given the prevalence of this issue in Texas, more data is needed to understand the state of diabetes-related amputations in Texas. Creating an interdisciplinary panel to study this issue and make recommendations on prevention, increase public awareness, create best practices for reducing amputations, and make policy recommendations for the state will help Texas save lives and limbs.

S.B. 1677 would direct the Department of State Health Services to conduct a study on the prevention and reduction of diabetes-related amputation. This study must be conducted in consultation with an interdisciplinary panel of experts on diabetes and related amputations, including an endocrinologist, podiatrists, vascular surgeon, nurse who specializes in diabetes education, at least three individuals with lived experience, among others. This report must be submitted to the governor and legislature no later than September 1, 2026.

(Original Author's/Sponsor's Statement of Intent)

C.S.S.B. 1677 amends current law relating to a study on prevention and reduction of diabetes-related amputation.

RULEMAKING AUTHORITY

This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency.

SECTION BY SECTION ANALYSIS

SECTION 1. (a) Defines "department" and "institution of higher education."

(b) Requires the Texas Higher Education Coordinating Board to designate an institution of higher education to conduct a study on the prevention and reduction of diabetes-related amputation, using existing institutional resources. Requires the institution to have a Research Activity Designation: Research 1: Very High Research Spending and Doctorate Production under the 2025 Carnegie Classification of Institutions of Higher Education.

(c) Requires the institution of higher education designated under Subsection (b) of this section, in conducting the study, to collaborate with the Department of State Health Services (DSHS), identify and examine information on amputations resulting from diabetes, and develop recommendations regarding certain subjects.

(d) Requires the institution of higher education designated under Subsection (b) of this section, in conducting the study, to consult with certain individuals.

(e) Requires the institution of higher education designated under Subsection (b) of this section, not later than September 1, 2026, to prepare and submit to DSHS a report summarizing the results of the study and containing recommendations for legislative or other action. Requires DSHS to post the report on DSHS's Internet website. Requires that the post include the information on which the institution's determinations and recommendations are based, and the methodologies the institution used to conduct the study.

SECTION 2. Provides that this Act expires September 1, 2027.

SECTION 3. Effective date: September 1, 2025.