89R9499 EAS-F
	By: Capriglione	H.B. No. 2295

	A BILL TO BE ENTITLED
	AN ACT
	relating to newborn screening tests for Duchenne muscular
	dystrophy.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  The heading to Chapter 33, Health and Safety
	Code, is amended to read as follows:
	CHAPTER 33. DUCHENNE MUSCULAR DYSTROPHY, PHENYLKETONURIA, OTHER
	HERITABLE DISEASES, HYPOTHYROIDISM, AND CERTAIN OTHER DISORDERS
	SECTION 2.  Section 33.001, Health and Safety Code, is
	amended by adding Subdivision (6) to read as follows:
	(6)  "Duchenne muscular dystrophy" means a progressive
	muscular degeneration disorder caused by alterations of the protein
	dystrophin and characterized by progressive muscle degeneration
	and weakness.
	SECTION 3.  Sections 33.002(a) and (c), Health and Safety
	Code, are amended to read as follows:
	(a)  The department shall carry out a program to combat
	morbidity, including intellectual disability, and mortality in
	persons who have Duchenne muscular dystrophy, phenylketonuria,
	other heritable diseases, or hypothyroidism.
	(c)  The department shall establish and maintain a
	laboratory to:
	(1)  conduct experiments, projects, and other
	activities necessary to develop screening or diagnostic tests for
	the early detection of Duchenne muscular dystrophy,
	phenylketonuria, other heritable diseases, and hypothyroidism;
	(2)  develop ways and means or discover methods to be
	used to prevent or treat Duchenne muscular dystrophy,
	phenylketonuria, other heritable diseases, and hypothyroidism; and
	(3)  serve other purposes considered necessary by the
	department to carry out the program.
	SECTION 4.  Section 33.011(a), Health and Safety Code, is
	amended to read as follows:
	(a)  The physician attending a newborn child or the person
	attending the delivery of a newborn child that is not attended by a
	physician shall cause the child to be subjected to screening tests
	approved by the department for Duchenne muscular dystrophy,
	phenylketonuria, other heritable diseases, hypothyroidism, and
	other disorders for which screening is required by the department.
	SECTION 5.  Section 33.014(a), Health and Safety Code, is
	amended to read as follows:
	(a)  If, because of an analysis of a specimen submitted under
	Section 33.011, the department reasonably suspects that a newborn
	child may have Duchenne muscular dystrophy, phenylketonuria,
	another heritable disease, hypothyroidism, or another disorder for
	which the screening tests are required, the department shall notify
	the person who submits the specimen that the results are abnormal
	and provide the test results to that person. The department may
	notify one or more of the following that the results of the analysis
	are abnormal and recommend further testing when necessary:
	(1)  the physician attending the newborn child or the
	physician's designee;
	(2)  the person attending the delivery of the newborn
	child that was not attended by a physician;
	(3)  the parents of the newborn child;
	(4)  the health authority of the jurisdiction in which
	the newborn child was born or in which the child resides, if known;
	or
	(5)  physicians who are cooperating pediatric
	specialists for the program.
	SECTION 6.  Section 33.031(a), Health and Safety Code, is
	amended to read as follows:
	(a)  All newborn children and other individuals under 21
	years of age who have been screened, have been found to be
	presumptively positive through the newborn screening program for
	Duchenne muscular dystrophy, phenylketonuria, other heritable
	diseases, hypothyroidism, or another disorder for which the
	screening tests are required, and may be financially eligible may
	be referred to the department's services program for children with
	special health care needs.
	SECTION 7.  Section 33.032(a), Health and Safety Code, is
	amended to read as follows:
	(a)  Within the limits of funds available for this purpose
	and in cooperation with the individual's physician, the department
	may provide services directly or through approved providers to
	individuals of any age who meet the eligibility criteria specified
	by department rules on the confirmation of a positive test for
	Duchenne muscular dystrophy, phenylketonuria, other heritable
	diseases, hypothyroidism, or another disorder for which the
	screening tests are required.
	SECTION 8.  Section 203.355(c), Occupations Code, is amended
	to read as follows:
	(c)  The laboratory services must include the performance of
	the standard serological tests for syphilis and the collection of
	blood specimens for newborn screening tests for Duchenne muscular
	dystrophy, phenylketonuria, hypothyroidism, and other heritable
	diseases as required by law.
	SECTION 9.  Not later than September 1, 2027, the Department
	of State Health Services shall implement the changes in law made by
	this Act to the newborn screening program under Chapter 33, Health
	and Safety Code.
	SECTION 10.  This Act takes effect September 1, 2025.