89R9309 LRM-F
 
  By: Vo H.B. No. 5242
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the categorization, collection, and publication of
  demographic and other information pertaining to certain public
  benefits programs.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 526, Government Code, as
  effective April 1, 2025, is amended by adding Sections 526.0011 and
  526.0012 to read as follows:
         Sec. 526.0011.  COLLECTION OF DEMOGRAPHIC DATA. (a)
  Subject to Subsection (e) and 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 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:
               (1)  American Indian or Alaska Native, with a write-in
  box to state the specific group with which the person identifies,
  such as Navajo Nation, Blackfeet Tribe of the Blackfeet Indian
  Reservation of Montana, Native Village of Barrow Inupiat
  Traditional Government, Nome Eskimo Community, Aztec, Maya, or any
  other subcategory with which the person identifies;
               (2)  Asian, including the following subcategories:
                     (A)  Asian Indian;
                     (B)  Chinese;
                     (C)  Filipino;
                     (D)  Korean;
                     (E)  Pakistani;
                     (F)  Vietnamese; and
                     (G)  other, with a write-in box to state any other
  Asian subcategory with which the person identifies, such as Hmong,
  Afghan, or Japanese;
               (3)  Black or African American, including the following
  subcategories:
                     (A)  African American;
                     (B)  Ethiopian;
                     (C)  Haitian;
                     (D)  Jamaican;
                     (E)  Nigerian;
                     (F)  Somali; and
                     (G)  other, with a write-in box to state any other
  Black or African American subcategory with which the person
  identifies, such as Trinidadian, Tobagonian, Ghanian, or
  Congolese;
               (4)  Hispanic or Latino, including the following
  subcategories:
                     (A)  Cuban;
                     (B)  Dominican;
                     (C)  Guatemalan;
                     (D)  Mexican;
                     (E)  Puerto Rican;
                     (F)  Salvadoran; and
                     (G)  other, with a write-in box to state any other
  Hispanic or Latino subcategory with which the person identifies,
  such as Colombian, Honduran, or Spaniard;
               (5)  Middle Eastern or North African, including the
  following subcategories:
                     (A)  Egyptian;
                     (B)  Iranian;
                     (C)  Iraqi;
                     (D)  Israeli;
                     (E)  Lebanese;
                     (F)  Syrian; and
                     (G)  other, with a write-in box to state any other
  Middle Eastern or North African subcategory with which the person
  identifies, such as Moroccan, Yemeni, or Kurdish;
               (6)  Native Hawaiian or Pacific Islander, including the
  following subcategories:
                     (A)  Chamorro;
                     (B)  Fijian;
                     (C)  Marshallese;
                     (D)  Native Hawaiian;
                     (E)  Samoan;
                     (F)  Tongan; and
                     (G)  other, with a write-in box to state any other
  Native Hawaiian or Pacific Islander subcategory with which the
  person identifies, such as Chuukese, Palauan, or Tahitian; and
               (7)  White, including the following subcategories:
                     (A)  English;
                     (B)  German;
                     (C)  Irish;
                     (D)  Italian;
                     (E)  Polish;
                     (F)  Scottish; and
                     (G)  other, with a write-in box to state any other
  White subcategory with which the person identifies, such as French,
  Swedish, or Norwegian.
         (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:
               (1)  select more than one category for race or ethnic
  origin;
               (2)  select more than one subcategory for race or
  ethnic origin; and
               (3)  write in a race or ethnic origin not listed.
         (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. 526.0012.  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 526.0011.  The analysis
  conducted under this subsection must consider subcategories,
  including those provided by individuals as a write-in option.
         (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 526.0011. The metric data published under
  this section must be organized by category and then by subcategory,
  including those provided by individuals as a write-in option, 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 January 1, 2028:
               (1)  the Health and Human Services Commission and each
  health and human services agency to which Sections 526.0011 and
  526.0012, Government Code, as added by this Act, apply shall revise
  the commission's or agency's data collection and reporting
  standards and forms as necessary to comply with those sections; and
               (2)  the Health and Human Services Commission shall
  publish on its Internet website the metric data required under
  Section 526.0012(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, 2025.