90R3186 AB-D
 
  By: Lalani H.B. No. 550
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to disclosure and documentation of increased fall risk
  information for certain prescription drugs prescribed to patients
  65 years of age and older.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle I, Title 2, Health and Safety Code, is
  amended by adding Chapter 184 to read as follows:
  CHAPTER 184.  DISCLOSURE AND DOCUMENTATION OF INCREASED FALL RISK
  INFORMATION FOR CERTAIN PRESCRIPTION DRUGS
         Sec. 184.001.  DEFINITION. In this chapter, "fall risk
  increasing drug" means a prescription drug posing a substantial
  risk to a patient's balance, stability, or alertness.
         Sec. 184.002.  REQUIRED DISCLOSURE AND DOCUMENTATION. (a)
  Each physician and health care practitioner licensed to practice in
  this state who prescribes a fall risk increasing drug to a patient
  who is 65 years of age or older shall disclose to the patient or the
  patient's legal guardian information on the increased fall risk
  associated with use of the drug.
         (b)  A physician or health care practitioner who prescribes a
  fall risk increasing drug to a patient 65 years of age or older
  shall document in the patient's medical record that the physician
  or practitioner provided to the patient the information required by
  Subsection (a).
         (c)  The disclosure and documentation required under this
  section must be in the form and manner prescribed by the executive
  commissioner and comply with any applicable rules adopted by the
  state licensing agency with regulatory authority over the physician
  or health care practitioner.
         Sec. 184.003.  LIST OF FALL RISK INCREASING DRUGS. (a)  The
  executive commissioner shall develop a list of prescription drugs
  considered to be a fall risk increasing drug and shall annually post
  the list on the commission's Internet website.
         (b)  In developing the list required under Subsection (a),
  the executive commissioner may consider for inclusion on the list
  prescription drugs:
               (1)  identified as increasing the risk of falls under
  the most current edition of the Beers Criteria for Potentially
  Inappropriate Medication Use in Older Adults published by the
  American Geriatrics Society; or
               (2)  designated as a fall risk increasing drug by a
  pharmacy care initiative administered by the federal Centers for
  Disease Control and Prevention.
         Sec. 184.004.  DISCIPLINARY ACTION. A physician or health
  care practitioner who holds a license issued by a state licensing
  agency is subject to review and disciplinary action by the agency
  for a violation of this chapter as if the physician or practitioner
  violated the applicable licensing law.
         SECTION 2.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall adopt any rules necessary to implement
  Chapter 184, Health and Safety Code, as added by this Act.
         SECTION 3.  This Act takes effect September 1, 2027.