89R14224 AB-D
 
  By: Menéndez S.B. No. 1677
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to a study by the Department of State Health Services on
  prevention and reduction of diabetes-related amputation.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  (a)  In this Act, "department" means the
  Department of State Health Services.
         (b)  The department shall conduct a study on the prevention
  and reduction of diabetes-related amputation.
         (c)  In conducting the study, the department shall:
               (1)  identify and examine information on amputations
  resulting from diabetes; and
               (2)  develop recommendations regarding:
                     (A)  amputation prevention related to diabetic
  foot ulcers and peripheral artery disease;
                     (B)  methods for increasing public awareness of
  diabetes-related amputation;
                     (C)  best practices for reducing the number of
  amputations performed; and
                     (D)  policy solutions for ensuring access to
  treatments to assist with preventing amputation, including:
                           (i)  insurance coverage for therapies
  designed to treat diabetic foot ulcers, including topical oxygen
  therapy;
                           (ii)  timely and equitable access to
  evidence-supported medical tools, technologies, and services to
  assist with the prevention of avoidable amputations;
                           (iii)  methods to improve and incentivize
  quality care to avoid amputations when possible; and
                           (iv)  methods to promote collaboration and
  cooperation among interested persons.
         (d)  In conducting the study, the department shall consult
  with the following individuals:
               (1)  the commissioner of state health services;
               (2)  a physician licensed in this state who specializes
  in endocrinology;
               (3)  a nurse licensed in this state with expertise in
  diabetes education;
               (4)  a vascular surgeon with expertise in amputation
  prevention;
               (5)  a physician, physician assistant, or advanced
  practice registered nurse with expertise in amputation prevention;
               (6)  a podiatrist with expertise in treating diabetic
  foot ulcers;
               (7)  a podiatrist or vascular surgeon affiliated with
  the United States Department of Veterans Affairs;
               (8)  a representative of a public health provider;
               (9)  at least three individuals diagnosed with diabetes
  or who have experienced diabetes-related amputation;
               (10)  a representative of the American Diabetes
  Association; and
               (11)  other individuals as the department determines
  necessary.
         (e)  Not later than September 1, 2026, the department shall
  prepare and submit to the governor and the legislature a report
  summarizing the results of the study and containing recommendations
  for legislative or other action.  The department shall post the
  report on the department's Internet website. The post must include:
               (1)  the information on which the department's
  determinations and recommendations is based; and
               (2)  the methodologies the department used to conduct
  the study.
         SECTION 2.  This Act expires September 1, 2027.
         SECTION 3.  This Act takes effect September 1, 2025.