HEALTH & SAFETY CODE
CHAPTER 95. CHILDREN'S ASTHMA DISEASE MANAGEMENT PILOT STUDY
Chapter 95, Children's Asthma Disease Management Pilot
Study, consisting of Secs. 95.001 to 95.003, was added by Acts 2001,
77th Leg., ch. 1286, § 1.
For another Chapter 95, Acanthosis Nigricans Screening,
consisting of Secs. 95.001 to 95.004, added by Acts 2001, 77th Leg.,
ch. 1465, § 1, see § 95.001 et seq., post.
§ 95.001. CHILDREN'S ASTHMA DISEASE MANAGEMENT PILOT
STUDY.
Text of section effective until September 1, 2005
(a) The department by rule shall establish a pilot study to
compare preventative disease management methods for treating
children's asthma with traditional methods of treating the disease.
(b) The department shall conduct the pilot study in six
areas of the state, in urban and rural settings.
(c) In conducting the pilot study the department shall use
disease management techniques that are transferable to private
practice and to other geographical areas of the state.
(d) The pilot study may measure the following outcomes:
(1) school absenteeism;
(2) hospitalization;
(3) frequency of asthma symptoms;
(4) impact of the disease on the family; and
(5) economic effects of the disease, including:
(A) income lost by parents as a result of days
missed from work; and
(B) income lost by schools as a result of student
absenteeism.
(e) In conducting the pilot study, the department may use
the expertise of an academic institution or nonprofit organization.
(f) The department may use prospective simulation-based
analysis to project the outcomes in Subsection (d).
Added by Acts 2001, 77th Leg., ch. 1286, § 1, eff. Sept. 1, 2001.
Chapter 95, Children's Asthma Disease Managment Pilot Study,
consisting of Secs. 95.001 to 95.003, was added by Acts 2001, 77th
Leg., ch. 1286, § 1.
For another Chapter 95, Acanthosis Nigricans Screening,
consisting of Secs. 95.001 to 95.004, added by Acts 2001, 77th Leg.,
ch. 1465, § 1, see § 95.001 et seq., post.
§ 95.002. REPORT.
Text of section effective until September 1, 2005
(a) Not later than November 1, 2002, the department shall
submit to the legislature an interim written report containing the
findings of the pilot study.
(b) Not later than November 1, 2003, the department shall
submit to the legislature a final written report containing the
findings of the pilot study and the department's recommendations.
Added by Acts 2001, 77th Leg., ch. 1286, § 1, eff. Sept. 1, 2001.
Chapter 95, Children's Asthma Disease Managment Pilot Study,
consisting of Secs. 95.001 to 95.003, was added by Acts 2001, 77th
Leg., ch. 1286, § 1.
For another Chapter 95, Acanthosis Nigricans Screening,
consisting of Secs. 95.001 to 95.004, added by Acts 2001, 77th Leg.,
ch. 1465, § 1, see § 95.001 et seq., post.
§ 95.003. EXPIRATION DATE.
Text of section effective until September 1, 2005
This chapter expires September 1, 2005.
Added by Acts 2001, 77th Leg., ch. 1286, § 1, eff. Sept. 1, 2001.
Chapter 95, Acanthosis Nigricans Screening, consisting of
Secs. 95.001 to 95.004, was added by Acts 2001, 77th Leg., ch. 1465,
§ 1.
For another Chapter 95, Children's Asthma Disease Management
Pilot Study, consisting of Secs. 95.001 to 95.003, added by Acts
2001, 77th Leg., ch. 1286, § 1, see § 95.001 et seq., ante.
§ 95.001. DEFINITIONS. In this chapter:
(1) "Acanthosis nigricans" means a light brown or
black velvety, rough, or thickened area on the surface of the skin
that may signal high insulin levels indicative of insulin
resistance.
(2) "Executive council" means the executive council
advising the Texas-Mexico Border Health Coordination Office of The
University of Texas-Pan American.
(3) "Office" means the Texas-Mexico Border Health
Coordination Office of The University of Texas-Pan American.
(4) "Professional examination" means an evaluation
performed by an appropriately licensed professional.
(5) "School" means an educational institution that
admits children who are five years of age or older but younger than
21 years of age.
(6) "Screening test" means a rapid analytical
procedure used to recommend appropriate measures or to determine
the need for further evaluation. The term does not include the
removal or partial removal of clothing.
Added by Acts 2001, 77th Leg., ch. 1465, § 1, eff. Sept. 1, 2001.
Chapter 95, Acanthosis Nigricans Screening, consisting of
Secs. 95.001 to 95.004, was added by Acts 2001, 77th Leg., ch. 1465,
§ 1.
For another Chapter 95, Children's Asthma Disease Management
Pilot Study, consisting of Secs. 95.001 to 95.003, added by Acts
2001, 77th Leg., ch. 1286, § 1, see § 95.001 et seq., ante.
§ 95.002. ACANTHOSIS NIGRICANS EDUCATION AND SCREENING
PROJECT. (a) The office shall administer an acanthosis nigricans
screening program in accordance with this chapter.
(b) The executive council by rule shall coordinate
screening of individuals who attend public or private schools
located in Texas Education Agency Regional Education Service
Centers 1, 2, 3, 4, 10, 11, 13, 15, 18, 19, and 20.
(c) The rules must include procedures necessary to
administer screening activities.
(d) The office shall require acanthosis nigricans screening
to be performed at the same time hearing and vision screening is
performed under Chapter 36 or spinal screening is performed under
Chapter 37.
(e) The office may coordinate the acanthosis nigricans
screening activities of school districts, private schools, state
agencies, volunteer organizations, and other entities so that the
efforts of each entity are complementary and not fragmented and
duplicative. The office may provide technical assistance to those
entities in developing screening programs and may provide
educational and other material to assist local screening
activities.
(f) The office shall monitor the quality of screening
activities provided under this chapter.
Added by Acts 2001, 77th Leg., ch. 1465, § 1, eff. Sept. 1, 2001.
Amended by Acts 2003, 78th Leg., ch. 1125, § 1, eff. Sept. 1,
2003.
Chapter 95, Acanthosis Nigricans Screening, consisting of
Secs. 95.001 to 95.004, was added by Acts 2001, 77th Leg., ch. 1465,
§ 1.
For another Chapter 95, Children's Asthma Disease Management
Pilot Study, consisting of Secs. 95.001 to 95.003, added by Acts
2001, 77th Leg., ch. 1286, § 1, see § 95.001 et seq., ante.
§ 95.003. COMPLIANCE WITH SCREENING REQUIREMENTS. (a)
Each individual required by rules adopted under this chapter to be
screened shall undergo approved screening for acanthosis
nigricans. The individual shall comply with the requirements as
soon as possible after the individual's admission to a school and as
required by rule. The individual or, if the individual is a minor,
the minor's parent, managing conservator, or guardian may
substitute a professional examination for the screening.
(b) An individual is exempt from screening if screening
conflicts with the tenets and practices of a recognized church or
religious denomination of which the individual is an adherent or a
member. To qualify for the exemption, the individual or, if the
individual is a minor, the individual's parent, managing
conservator, or guardian must submit to the chief administrator of
the school on or before the day of the screening procedure an
affidavit stating the objections to the screening.
(c) The chief administrator of each school shall ensure that
each individual admitted to the school complies with the screening
requirements set by the executive council or submits an affidavit
of exemption.
Added by Acts 2001, 77th Leg., ch. 1465, § 1, eff. Sept. 1, 2001.
Chapter 95, Acanthosis Nigricans Screening, consisting of
Secs. 95.001 to 95.004, was added by Acts 2001, 77th Leg., ch. 1465,
§ 1.
For another Chapter 95, Children's Asthma Disease Management
Pilot Study, consisting of Secs. 95.001 to 95.003, added by Acts
2001, 77th Leg., ch. 1286, § 1, see § 95.001 et seq., ante.
§ 95.004. RECORDS; REPORTS. (a) The chief
administrator of each school shall maintain, on a form prescribed
by the executive council, screening records for each individual in
attendance, and the records are open for inspection by the office or
the local health department.
(b) The office may, directly or through local health
departments, enter a school and inspect records maintained by the
school relating to screening for acanthosis nigricans.
(c) An individual's screening records may be transferred
among schools without the consent of the individual or, if the
individual is a minor, the minor's parent, managing conservator, or
guardian.
(d) The person performing the screening shall send a report
indicating that an individual may have acanthosis nigricans to the
individual or, if the individual is a minor, the minor's parent,
managing conservator, or guardian. The report must include:
(1) an explanation of acanthosis nigricans and related
conditions;
(2) a statement concerning an individual's or family's
need for further evaluation of conditions related to acanthosis
nigricans; and
(3) instructions to help the individual or family
receive evaluation and intervention by the school district.
(e) Each school shall submit to the office an annual report
on the screening status of the individuals in attendance during the
reporting year and shall include in the report any other
information required by the office. The report must be on a form
prescribed by the executive council and must be submitted according
to the executive council's rules.
(f) Not later than January 15 of each odd-numbered year, the
office shall submit to the governor and the legislature a report
concerning the effectiveness of the acanthosis nigricans screening
program established by this chapter.
Added by Acts 2001, 77th Leg., ch. 1465, § 1, eff. Sept. 1, 2001.
