85R420 JSC-D
	By: Gonzales of Williamson	H.B. No. 274

	A BILL TO BE ENTITLED
	AN ACT
	relating to information regarding spina bifida.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  The heading to Subchapter W, Chapter 161, Health
	and Safety Code, is amended to read as follows:
	SUBCHAPTER W. INFORMATION REGARDING DOWN SYNDROME AND SPINA BIFIDA
	SECTION 2.  Section 161.651, Health and Safety Code, is
	amended by adding Subdivision (3) to read as follows:
	(3)  "Spina bifida" means a neural tube defect, the
	most common of which is the open neural tube defect
	myelomeningocele.
	SECTION 3.  The heading to Section 161.652, Health and
	Safety Code, is amended to read as follows:
	Sec. 161.652.  INFORMATION REGARDING DOWN SYNDROME AND SPINA
	BIFIDA.
	SECTION 4.  Sections 161.652(a) and (b), Health and Safety
	Code, are amended to read as follows:
	(a)  The department shall make available information
	regarding Down syndrome and spina bifida that includes:
	(1)  information addressing physical, developmental,
	educational, and psychosocial outcomes, life expectancy, clinical
	course, and intellectual and functional development for
	individuals with Down syndrome and individuals with spina bifida;
	(2)  information regarding available treatment options
	for individuals with Down syndrome and individuals with spina
	bifida;
	(3)  contact information for any national and local
	Down syndrome and spina bifida education and support programs,
	services, and organizations, including organizations in Houston,
	Dallas, San Antonio, and Austin, and information hotlines, resource
	centers, and clearinghouses; and
	(4)  any other information required by the department.
	(b)  The information described by Subsection (a) must be:
	(1)  current, evidence-based information that:
	(A)  has been reviewed by medical experts and the
	local Down syndrome and spina bifida organizations; and
	(B)  does not explicitly or implicitly present
	pregnancy termination as an option when a prenatal test indicates
	that the unborn child has Down syndrome or spina bifida; and
	(2)  published in English and Spanish.
	SECTION 5.  Sections 161.653(a) and (b), Health and Safety
	Code, are amended to read as follows:
	(a)  A health care provider who administers or causes to be
	administered a test for Down syndrome or spina bifida or who
	initially diagnoses a child with Down syndrome or spina bifida
	shall provide the information described by Section 161.652 to:
	(1)  expectant parents who receive a prenatal test
	result indicating a probability or diagnosis that the unborn child
	has Down syndrome or spina bifida; or
	(2)  a parent of a child who receives:
	(A)  a test result indicating a probability or
	diagnosis that the child has Down syndrome or spina bifida; or
	(B)  a diagnosis of Down syndrome or spina bifida.
	(b)  In addition to providing the information described by
	Subsection (a), a health care provider may provide additional
	information about Down syndrome or spina bifida that is current and
	evidence-based and has been reviewed by medical experts and
	national Down syndrome or spina bifida organizations, as
	applicable.
	SECTION 6.  (a) The Department of State Health Services
	shall make available the information described by 161.652, Health
	and Safety Code, as amended by this Act, not later than January 1,
	2018.
	(b)  A health care provider is not required to comply with
	Section 161.653, Health and Safety Code, as amended by this Act,
	before February 1, 2018.
	SECTION 7.  This Act takes effect immediately if it receives
	a vote of two-thirds of all the members elected to each house, as
	provided by Section 39, Article III, Texas Constitution.  If this
	Act does not receive the vote necessary for immediate effect, this
	Act takes effect September 1, 2017.