|   | 
         
         
            |   | 
         
         
            |   | 
         
         
            | 
                
			 | 
            
               AN ACT
             | 
         
         
            | 
                
			 | 
            relating to sickle cell disease health care improvement and the  | 
         
         
            | 
                
			 | 
            sickle cell task force. | 
         
         
            | 
                
			 | 
                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
            | 
                
			 | 
                   SECTION 1.  Subchapter A, Chapter 533, Government Code, is  | 
         
         
            | 
                
			 | 
            amended by adding Section 533.0091 to read as follows: | 
         
         
            | 
                
			 | 
                   Sec. 533.0091.  SICKLE CELL DISEASE TREATMENT.  To the  | 
         
         
            | 
                
			 | 
            extent possible, the commission shall: | 
         
         
            | 
                
			 | 
                         (1)  in collaboration with the sickle cell task force  | 
         
         
            | 
                
			 | 
            established under Chapter 52, Health and Safety Code: | 
         
         
            | 
                
			 | 
                               (A)  support initiatives to assist managed care  | 
         
         
            | 
                
			 | 
            plans in promoting timely, evidence-informed health care services  | 
         
         
            | 
                
			 | 
            to plan enrollees diagnosed with sickle cell disease to ensure the  | 
         
         
            | 
                
			 | 
            services reflect national clinical practice guidelines and  | 
         
         
            | 
                
			 | 
            protocols for sickle cell disease treatment and meet medical  | 
         
         
            | 
                
			 | 
            necessity criteria; and | 
         
         
            | 
                
			 | 
                               (B)  address sickle cell disease education for  | 
         
         
            | 
                
			 | 
            Medicaid providers, including emergency department providers, by  | 
         
         
            | 
                
			 | 
            collaborating with medical specialty organizations in this state,  | 
         
         
            | 
                
			 | 
            state agencies, and health-related institutions to promote  | 
         
         
            | 
                
			 | 
            existing or new continuing education courses or facilitate  | 
         
         
            | 
                
			 | 
            development of any necessary new courses to improve the diagnosis,  | 
         
         
            | 
                
			 | 
            treatment, and management of sickle cell disease and the personal  | 
         
         
            | 
                
			 | 
            treatment of patients with sickle cell disease; and | 
         
         
            | 
                
			 | 
                         (2)  use the commission's existing data to identify  | 
         
         
            | 
                
			 | 
            opportunities for improving health outcomes of recipients  | 
         
         
            | 
                
			 | 
            diagnosed with sickle cell disease by: | 
         
         
            | 
                
			 | 
                               (A)  reducing hospital admissions and  | 
         
         
            | 
                
			 | 
            readmissions; and | 
         
         
            | 
                
			 | 
                               (B)  connecting those recipients to a sickle cell  | 
         
         
            | 
                
			 | 
            disease health home or sickle cell disease expert. | 
         
         
            | 
                
			 | 
                   SECTION 2.  Sections 52.0003 and 52.0007, Health and Safety  | 
         
         
            | 
                
			 | 
            Code, are amended to read as follows: | 
         
         
            | 
                
			 | 
                   Sec. 52.0003.  COMPOSITION OF TASK FORCE.  The task force is  | 
         
         
            | 
                
			 | 
            composed of the following members appointed by the executive  | 
         
         
            | 
                
			 | 
            commissioner: | 
         
         
            | 
                
			 | 
                         (1)  two members from community-based organizations  | 
         
         
            | 
                
			 | 
            with experience addressing the needs of individuals with sickle  | 
         
         
            | 
                
			 | 
            cell disease; | 
         
         
            | 
                
			 | 
                         (2)  two physicians specializing in hematology; | 
         
         
            | 
                
			 | 
                         (3)  three [two] members of the public, one of whom has  | 
         
         
            | 
                
			 | 
            sickle cell disease or sickle cell trait and two [each] of whom  | 
         
         
            | 
                
			 | 
            either have [has] sickle cell disease or are [is] a parent of a  | 
         
         
            | 
                
			 | 
            person with sickle cell disease or sickle cell trait; [and] | 
         
         
            | 
                
			 | 
                         (4)  one representative of a health-related  | 
         
         
            | 
                
			 | 
            institution; | 
         
         
            | 
                
			 | 
                         (5)  one representative of the Texas Education Agency; | 
         
         
            | 
                
			 | 
                         (6)  one representative of the commission; | 
         
         
            | 
                
			 | 
                         (7)  one physician with experience addressing the needs  | 
         
         
            | 
                
			 | 
            of individuals with sickle cell disease or sickle cell trait; | 
         
         
            | 
                
			 | 
                         (8)  one researcher from a public health-related or  | 
         
         
            | 
                
			 | 
            academic institution with experience addressing sickle cell  | 
         
         
            | 
                
			 | 
            disease and sickle cell trait; and | 
         
         
            | 
                
			 | 
                         (9)  one health care professional with experience  | 
         
         
            | 
                
			 | 
            addressing the needs of individuals with sickle cell disease or  | 
         
         
            | 
                
			 | 
            sickle cell trait. | 
         
         
            | 
                
			 | 
                   Sec. 52.0007.  ANNUAL REPORT.  (a)  Not later than December 1  | 
         
         
            | 
                
			 | 
            of each year, the task force shall prepare and submit to the  | 
         
         
            | 
                
			 | 
            governor and the legislature an annual written report that  | 
         
         
            | 
                
			 | 
            summarizes the task force's work and includes any recommended  | 
         
         
            | 
                
			 | 
            actions or policy changes endorsed by the task force. | 
         
         
            | 
                
			 | 
                   (b)  The task force shall, in collaboration with the  | 
         
         
            | 
                
			 | 
            commission, include in the task force's annual report  | 
         
         
            | 
                
			 | 
            recommendations for improving sickle cell disease education for  | 
         
         
            | 
                
			 | 
            health care providers. | 
         
         
            | 
                
			 | 
                   SECTION 3.  Chapter 52, Health and Safety Code, is amended by  | 
         
         
            | 
                
			 | 
            adding Section 52.0008 to read as follows: | 
         
         
            | 
                
			 | 
                   Sec. 52.0008.  EXPIRATION.  The task force is abolished and  | 
         
         
            | 
                
			 | 
            this chapter expires August 31, 2035. | 
         
         
            | 
                
			 | 
                   SECTION 4.  Subtitle B, Title 2, Health and Safety Code, is  | 
         
         
            | 
                
			 | 
            amended by adding Chapter 52A to read as follows: | 
         
         
            | 
                
			 | 
            CHAPTER 52A.  SICKLE CELL DISEASE CARE EDUCATION AND TREATMENT | 
         
         
            | 
                
			 | 
                   Sec. 52A.001.  DEFINITION.  In this chapter, "sickle cell  | 
         
         
            | 
                
			 | 
            task force" means the sickle cell task force established under  | 
         
         
            | 
                
			 | 
            Chapter 52. | 
         
         
            | 
                
			 | 
                   Sec. 52A.002.  EMERGENCY AND PRIMARY CARE MEDICINE GRADUATE  | 
         
         
            | 
                
			 | 
            MEDICAL EDUCATION PROGRAM CURRICULUM.  (a)  In this section,  | 
         
         
            | 
                
			 | 
            "graduate medical education program" and "medical school" have the  | 
         
         
            | 
                
			 | 
            meanings assigned by Section 58A.001, Education Code. | 
         
         
            | 
                
			 | 
                   (b)  A medical school or graduate medical education program  | 
         
         
            | 
                
			 | 
            in this state that offers an emergency medicine, family medicine,  | 
         
         
            | 
                
			 | 
            internal medicine, obstetrics, or pediatrics residency program  | 
         
         
            | 
                
			 | 
            shall examine and, to the extent possible, incorporate in the  | 
         
         
            | 
                
			 | 
            curriculum requirements for the program education focused on sickle  | 
         
         
            | 
                
			 | 
            cell disease and sickle cell trait.  The medical school or graduate  | 
         
         
            | 
                
			 | 
            medical education program may enter into agreements as necessary  | 
         
         
            | 
                
			 | 
            for the purposes of this section. | 
         
         
            | 
                
			 | 
                   Sec. 52A.003.  INFORMATION FOR PUBLIC SCHOOL DISTRICT  | 
         
         
            | 
                
			 | 
            PERSONNEL.  (a)  To the extent possible, the Texas Education Agency  | 
         
         
            | 
                
			 | 
            in collaboration with sickle cell disease community-based  | 
         
         
            | 
                
			 | 
            organizations shall provide information on sickle cell disease and  | 
         
         
            | 
                
			 | 
            sickle cell trait to public school districts and district staff,  | 
         
         
            | 
                
			 | 
            including school nurses, teachers, and coaches. | 
         
         
            | 
                
			 | 
                   (b)  The commission in collaboration with the sickle cell  | 
         
         
            | 
                
			 | 
            task force shall explore methods for improving sickle cell disease  | 
         
         
            | 
                
			 | 
            education and awareness within the public school system and provide  | 
         
         
            | 
                
			 | 
            recommendations to the Texas Education Agency on the improvement  | 
         
         
            | 
                
			 | 
            methods. | 
         
         
            | 
                
			 | 
                   SECTION 5.  As soon as practicable after the effective date  | 
         
         
            | 
                
			 | 
            of this Act, the executive commissioner of the Health and Human  | 
         
         
            | 
                
			 | 
            Services Commission shall appoint the new members of the sickle  | 
         
         
            | 
                
			 | 
            cell task force as required by Section 52.0003, Health and Safety  | 
         
         
            | 
                
			 | 
            Code, as amended by this Act. | 
         
         
            | 
                
			 | 
                   SECTION 6.  Section 52A.002, Health and Safety Code, as  | 
         
         
            | 
                
			 | 
            added by this Act, applies to residents entering an emergency  | 
         
         
            | 
                
			 | 
            medicine, family medicine, internal medicine, obstetrics, or  | 
         
         
            | 
                
			 | 
            pediatrics residency program at a medical school or graduate  | 
         
         
            | 
                
			 | 
            medical education program in this state on or after January 1, 2024. | 
         
         
            | 
                
			 | 
                   SECTION 7.  This Act takes effect September 1, 2023. | 
         
         
            |   | 
         
         
            |   | 
         
         
            |   | 
            ______________________________ | 
            ______________________________ | 
         
         
            |   | 
               President of the Senate | 
            Speaker of the House      | 
         
         
            |   | 
         
         
            |   | 
         
         
            | 
                		
			 | 
                   I certify that H.B. No. 1488 was passed by the House on April  | 
         
         
            | 
                		
			 | 
            11, 2023, by the following vote:  Yeas 107, Nays 33, 1 present, not  | 
         
         
            | 
                		
			 | 
            voting. | 
         
         
            | 
                		
			 | 
             | 
         
         
            | 
                		
			 | 
            ______________________________ | 
         
         
            | 
                		
			 | 
            Chief Clerk of the House    | 
         
         
            |   | 
         
         
            |   | 
         
         
            | 
                		
			 | 
                   I certify that H.B. No. 1488 was passed by the Senate on May  | 
         
         
            | 
                		
			 | 
            17, 2023, by the following vote:  Yeas 27, Nays 4. | 
         
         
            | 
                		
			 | 
             | 
         
         
            | 
                		
			 | 
            ______________________________ | 
         
         
            | 
                		
			 | 
            Secretary of the Senate     | 
         
         
            | 
                		
			 | 
            APPROVED:  _____________________ | 
         
         
            | 
                		
			 | 
                               Date           | 
         
         
            | 
                		
			 | 
              | 
         
         
            | 
                		
			 | 
                      _____________________ | 
         
         
            | 
                		
			 | 
                             Governor        |