|   | 
      
      
        |   | 
      
      
        |   | 
      
      
        | 
           
			 | 
        
          AN ACT
         | 
      
      
        | 
           
			 | 
        relating to the establishment of the Pediatric Acute-Onset  | 
      
      
        | 
           
			 | 
        Neuropsychiatric Syndrome Advisory Council. | 
      
      
        | 
           
			 | 
               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
        | 
           
			 | 
               SECTION 1.  Subtitle E, Title 2, Health and Safety Code, is  | 
      
      
        | 
           
			 | 
        amended by adding Chapter 119A to read as follows: | 
      
      
        | 
           
			 | 
        CHAPTER 119A. PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME  | 
      
      
        | 
           
			 | 
        ADVISORY COUNCIL | 
      
      
        | 
           
			 | 
               Sec. 119A.001.  DEFINITION.  In this chapter, "advisory  | 
      
      
        | 
           
			 | 
        council" means the Pediatric Acute-Onset Neuropsychiatric Syndrome  | 
      
      
        | 
           
			 | 
        Advisory Council established under this chapter. | 
      
      
        | 
           
			 | 
               Sec. 119A.002.  ESTABLISHMENT OF ADVISORY COUNCIL.  The  | 
      
      
        | 
           
			 | 
        Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council  | 
      
      
        | 
           
			 | 
        is established to advise the commission and the legislature on  | 
      
      
        | 
           
			 | 
        research, diagnosis, treatment, and education related to pediatric  | 
      
      
        | 
           
			 | 
        acute-onset neuropsychiatric syndrome. | 
      
      
        | 
           
			 | 
               Sec. 119A.003.  APPOINTMENT OF ADVISORY COUNCIL MEMBERS.   | 
      
      
        | 
           
			 | 
        (a)  The advisory council is composed of the following 19 members: | 
      
      
        | 
           
			 | 
                     (1)  one member designated by the executive  | 
      
      
        | 
           
			 | 
        commissioner; | 
      
      
        | 
           
			 | 
                     (2)  two members of the senate appointed by the  | 
      
      
        | 
           
			 | 
        lieutenant governor; | 
      
      
        | 
           
			 | 
                     (3)  two members of the house of representatives  | 
      
      
        | 
           
			 | 
        appointed by the speaker of the house of representatives; and | 
      
      
        | 
           
			 | 
                     (4)  14 members appointed by the governor with the  | 
      
      
        | 
           
			 | 
        following qualifications: | 
      
      
        | 
           
			 | 
                           (A)  one member who is a licensed health care  | 
      
      
        | 
           
			 | 
        provider with expertise in treating persons with pediatric  | 
      
      
        | 
           
			 | 
        acute-onset neuropsychiatric syndrome, including pediatric  | 
      
      
        | 
           
			 | 
        autoimmune neuropsychiatric disorders associated with  | 
      
      
        | 
           
			 | 
        streptococcal infections, and autism; | 
      
      
        | 
           
			 | 
                           (B)  one member who is an osteopathic physician  | 
      
      
        | 
           
			 | 
        with experience treating persons with pediatric acute-onset  | 
      
      
        | 
           
			 | 
        neuropsychiatric syndrome, including pediatric autoimmune  | 
      
      
        | 
           
			 | 
        neuropsychiatric disorders associated with streptococcal  | 
      
      
        | 
           
			 | 
        infections; | 
      
      
        | 
           
			 | 
                           (C)  one member who is a pediatrician with  | 
      
      
        | 
           
			 | 
        experience treating persons with pediatric acute-onset  | 
      
      
        | 
           
			 | 
        neuropsychiatric syndrome, including pediatric autoimmune  | 
      
      
        | 
           
			 | 
        neuropsychiatric disorders associated with streptococcal  | 
      
      
        | 
           
			 | 
        infections; | 
      
      
        | 
           
			 | 
                           (D)  one member who is a child psychiatrist with  | 
      
      
        | 
           
			 | 
        experience treating persons with pediatric acute-onset  | 
      
      
        | 
           
			 | 
        neuropsychiatric syndrome, including pediatric autoimmune  | 
      
      
        | 
           
			 | 
        neuropsychiatric disorders associated with streptococcal  | 
      
      
        | 
           
			 | 
        infections; | 
      
      
        | 
           
			 | 
                           (E)  one member who is an immunologist with  | 
      
      
        | 
           
			 | 
        experience treating persons with pediatric acute-onset  | 
      
      
        | 
           
			 | 
        neuropsychiatric syndrome, including pediatric autoimmune  | 
      
      
        | 
           
			 | 
        neuropsychiatric disorders associated with streptococcal  | 
      
      
        | 
           
			 | 
        infections, and the use of intravenous immunoglobulin; | 
      
      
        | 
           
			 | 
                           (F)  one member who is a dietician or nutritionist  | 
      
      
        | 
           
			 | 
        who provides services to children with autism spectrum disorders,  | 
      
      
        | 
           
			 | 
        attention-deficit/hyperactivity disorders, and other  | 
      
      
        | 
           
			 | 
        neuro-developmental conditions; | 
      
      
        | 
           
			 | 
                           (G)  one member with experience in conducting  | 
      
      
        | 
           
			 | 
        research on pediatric acute-onset neuropsychiatric syndrome,  | 
      
      
        | 
           
			 | 
        including pediatric autoimmune neuropsychiatric disorders  | 
      
      
        | 
           
			 | 
        associated with streptococcal infections, obsessive-compulsive  | 
      
      
        | 
           
			 | 
        disorder, tic disorders, and other neurological disorders; | 
      
      
        | 
           
			 | 
                           (H)  one member who is licensed by this state to  | 
      
      
        | 
           
			 | 
        practice as a social worker; | 
      
      
        | 
           
			 | 
                           (I)  one member who is a representative of the  | 
      
      
        | 
           
			 | 
        Texas Education Agency with expertise in special education  | 
      
      
        | 
           
			 | 
        services; | 
      
      
        | 
           
			 | 
                           (J)  one member who is a psychologist licensed  | 
      
      
        | 
           
			 | 
        under Chapter 501, Occupations Code; | 
      
      
        | 
           
			 | 
                           (K)  one member who is a representative of a  | 
      
      
        | 
           
			 | 
        professional organization in this state for school nurses; | 
      
      
        | 
           
			 | 
                           (L)  one member who is a representative of an  | 
      
      
        | 
           
			 | 
        advocacy and support group in this state for individuals affected  | 
      
      
        | 
           
			 | 
        by pediatric acute-onset neuropsychiatric syndrome, including  | 
      
      
        | 
           
			 | 
        pediatric autoimmune neuropsychiatric disorders associated with  | 
      
      
        | 
           
			 | 
        streptococcal infections; | 
      
      
        | 
           
			 | 
                           (M)  one member who is a representative of an  | 
      
      
        | 
           
			 | 
        advocacy and support group in this state for individuals affected  | 
      
      
        | 
           
			 | 
        by autism; and | 
      
      
        | 
           
			 | 
                           (N)  one member who is a parent of a child who has  | 
      
      
        | 
           
			 | 
        been diagnosed with pediatric acute-onset neuropsychiatric  | 
      
      
        | 
           
			 | 
        syndrome or autism. | 
      
      
        | 
           
			 | 
               (b)  The member designated by the executive commissioner  | 
      
      
        | 
           
			 | 
        serves as an ex officio nonvoting member.  In the event of a tie vote  | 
      
      
        | 
           
			 | 
        among the members of the advisory council, the member designated by  | 
      
      
        | 
           
			 | 
        the executive commissioner may cast the deciding vote. | 
      
      
        | 
           
			 | 
               (c)  Each member of the advisory council must be a citizen of  | 
      
      
        | 
           
			 | 
        this state. | 
      
      
        | 
           
			 | 
               Sec. 119A.004.  TERMS; VACANCY.  (a)  Advisory council  | 
      
      
        | 
           
			 | 
        members appointed by the lieutenant governor and the speaker of the  | 
      
      
        | 
           
			 | 
        house of representatives serve terms that coincide with the  | 
      
      
        | 
           
			 | 
        advisory council members' terms of office.  The remaining members  | 
      
      
        | 
           
			 | 
        serve two-year terms. | 
      
      
        | 
           
			 | 
               (b)  A vacancy on the advisory council shall be filled in the  | 
      
      
        | 
           
			 | 
        same manner as the original appointment. | 
      
      
        | 
           
			 | 
               (c)  A member appointed to fill a vacancy holds the office  | 
      
      
        | 
           
			 | 
        for the unexpired portion of the term. | 
      
      
        | 
           
			 | 
               (d)  Each member may be reappointed to serve on the advisory  | 
      
      
        | 
           
			 | 
        council. | 
      
      
        | 
           
			 | 
               Sec. 119A.005.  CHAIR AND VICE CHAIR.  Members of the  | 
      
      
        | 
           
			 | 
        advisory council shall elect from among the legislative members of  | 
      
      
        | 
           
			 | 
        the advisory council a chair and vice chair. | 
      
      
        | 
           
			 | 
               Sec. 119A.006.  MEETINGS; QUORUM.  (a)  The advisory council  | 
      
      
        | 
           
			 | 
        shall meet at times and locations as determined by the chair or a  | 
      
      
        | 
           
			 | 
        majority of the members of the advisory council. | 
      
      
        | 
           
			 | 
               (b)  A majority of the members of the advisory council  | 
      
      
        | 
           
			 | 
        constitute a quorum. | 
      
      
        | 
           
			 | 
               Sec. 119A.007.  ANNUAL REPORT.  (a)  Not later than September  | 
      
      
        | 
           
			 | 
        1 of each year, the advisory council shall prepare and submit to the  | 
      
      
        | 
           
			 | 
        governor, legislature, and commission a written report that  | 
      
      
        | 
           
			 | 
        includes recommendations on: | 
      
      
        | 
           
			 | 
                     (1)  practice guidelines for the diagnosis and  | 
      
      
        | 
           
			 | 
        treatment of pediatric acute-onset neuropsychiatric syndrome,  | 
      
      
        | 
           
			 | 
        including pediatric autoimmune neuropsychiatric disorders  | 
      
      
        | 
           
			 | 
        associated with streptococcal infections; | 
      
      
        | 
           
			 | 
                     (2)  mechanisms to increase clinical awareness and  | 
      
      
        | 
           
			 | 
        education regarding pediatric acute-onset neuropsychiatric  | 
      
      
        | 
           
			 | 
        syndrome, including pediatric autoimmune neuropsychiatric  | 
      
      
        | 
           
			 | 
        disorders associated with streptococcal infections, among  | 
      
      
        | 
           
			 | 
        physicians, including pediatricians, school-based health centers,  | 
      
      
        | 
           
			 | 
        and mental health care providers; | 
      
      
        | 
           
			 | 
                     (3)  strategies for outreach to educators and parents  | 
      
      
        | 
           
			 | 
        to increase awareness of pediatric acute-onset neuropsychiatric  | 
      
      
        | 
           
			 | 
        syndrome, including pediatric autoimmune neuropsychiatric  | 
      
      
        | 
           
			 | 
        disorders associated with streptococcal infections; and | 
      
      
        | 
           
			 | 
                     (4)  developing a network of volunteer experts on the  | 
      
      
        | 
           
			 | 
        diagnosis and treatment of pediatric acute-onset neuropsychiatric  | 
      
      
        | 
           
			 | 
        syndrome, including pediatric autoimmune neuropsychiatric  | 
      
      
        | 
           
			 | 
        disorders associated with streptococcal infections, to assist in  | 
      
      
        | 
           
			 | 
        the delivery of education and outreach. | 
      
      
        | 
           
			 | 
               (b)  Notwithstanding any other law, this section, including  | 
      
      
        | 
           
			 | 
        any action taken under this section to develop or disseminate  | 
      
      
        | 
           
			 | 
        information or materials, does not create a civil or administrative  | 
      
      
        | 
           
			 | 
        cause of action or a civil or criminal liability and does not create  | 
      
      
        | 
           
			 | 
        a standard of care, obligation, or duty that provides the basis for  | 
      
      
        | 
           
			 | 
        a cause of action. | 
      
      
        | 
           
			 | 
               Sec. 119A.008.  COMPENSATION AND REIMBURSEMENT.  A member of  | 
      
      
        | 
           
			 | 
        the advisory council is not entitled to compensation or  | 
      
      
        | 
           
			 | 
        reimbursement for expenses incurred in performing advisory council  | 
      
      
        | 
           
			 | 
        duties. | 
      
      
        | 
           
			 | 
               Sec. 119A.009.  SUNSET PROVISION.  The Pediatric Acute-Onset  | 
      
      
        | 
           
			 | 
        Neuropsychiatric Syndrome Advisory Council is subject to Chapter  | 
      
      
        | 
           
			 | 
        325, Government Code (Texas Sunset Act).  Unless continued in  | 
      
      
        | 
           
			 | 
        existence as provided by that chapter, the advisory council is  | 
      
      
        | 
           
			 | 
        abolished and this chapter expires September 1, 2031. | 
      
      
        | 
           
			 | 
               Sec. 119A.010.  APPLICABILITY OF OTHER LAW.  Chapter 2110,  | 
      
      
        | 
           
			 | 
        Government Code, does not apply to the advisory council. | 
      
      
        | 
           
			 | 
               SECTION 2.  Not later than December 31, 2019, the governor,  | 
      
      
        | 
           
			 | 
        lieutenant governor, speaker of the house of representatives, and  | 
      
      
        | 
           
			 | 
        executive commissioner of the Health and Human Services Commission  | 
      
      
        | 
           
			 | 
        shall appoint the members to the Pediatric Acute-Onset  | 
      
      
        | 
           
			 | 
        Neuropsychiatric Syndrome Advisory Council as required by Section  | 
      
      
        | 
           
			 | 
        119A.003, Health and Safety Code, as added by this Act. | 
      
      
        | 
           
			 | 
               SECTION 3.  This Act takes effect September 1, 2019. | 
      
      
        |   | 
      
      
        |   | 
      
      
        |   | 
        ______________________________ | 
        ______________________________ | 
      
      
        |   | 
           President of the Senate | 
        Speaker of the House      | 
      
      
        |   | 
      
      
        |   | 
      
      
        | 
           		
			 | 
               I certify that H.B. No. 2783 was passed by the House on May 7,  | 
      
      
        | 
           		
			 | 
        2019, by the following vote:  Yeas 141, Nays 5, 2 present, not  | 
      
      
        | 
           		
			 | 
        voting. | 
      
      
        | 
           		
			 | 
         | 
      
      
        | 
           		
			 | 
        ______________________________ | 
      
      
        | 
           		
			 | 
        Chief Clerk of the House    | 
      
      
        |   | 
      
      
        |   | 
      
      
        | 
           		
			 | 
               I certify that H.B. No. 2783 was passed by the Senate on May  | 
      
      
        | 
           		
			 | 
        22, 2019, by the following vote:  Yeas 30, Nays 1. | 
      
      
        | 
           		
			 | 
         | 
      
      
        | 
           		
			 | 
        ______________________________ | 
      
      
        | 
           		
			 | 
        Secretary of the Senate     | 
      
      
        | 
           		
			 | 
        APPROVED:  _____________________ | 
      
      
        | 
           		
			 | 
                           Date           | 
      
      
        | 
           		
			 | 
          | 
      
      
        | 
           		
			 | 
                  _____________________ | 
      
      
        | 
           		
			 | 
                         Governor        |