Bill Text: TX HB719 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to medical education coursework and training for physicians in cultural competence and implicit bias.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-02-21 - Referred to Public Health [HB719 Detail]
Download: Texas-2019-HB719-Introduced.html
86R4525 BEE-D | ||
By: Thierry | H.B. No. 719 |
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relating to medical education coursework and training for | ||
physicians in cultural competence and implicit bias. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter F, Chapter 51, Education Code, is | ||
amended by adding Section 51.310 to read as follows: | ||
Sec. 51.310. CULTURAL COMPETENCE AND IMPLICIT BIAS MEDICAL | ||
EDUCATION COURSEWORK. (a) In this section: | ||
(1) "Coordinating board" means the Texas Higher | ||
Education Coordinating Board. | ||
(2) "Cultural competence" and "implicit bias" have the | ||
meanings assigned by Section 153.017, Occupations Code. | ||
(3) "Medical school" has the meaning assigned by | ||
Section 61.501. | ||
(b) The coordinating board by rule shall require a medical | ||
school to offer coursework in cultural competence and implicit bias | ||
approved by the Texas Medical Board under Section 153.017(b), | ||
Occupations Code. | ||
(c) A medical school may not award a student a doctor of | ||
medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree | ||
unless the student has successfully completed the number of hours | ||
of coursework in cultural competence and implicit bias required by | ||
coordinating board rule. | ||
SECTION 2. Subchapter A, Chapter 153, Occupations Code, is | ||
amended by adding Section 153.017 to read as follows: | ||
Sec. 153.017. COURSEWORK AND TRAINING IN CULTURAL | ||
COMPETENCE AND IMPLICIT BIAS. (a) In this section: | ||
(1) "Cultural competence" means, with respect to | ||
health care, the ability to address the health issues of | ||
individuals from diverse backgrounds effectively by applying | ||
knowledge, empathy, and insight into the views on health that those | ||
backgrounds present. | ||
(2) "Implicit bias" means: | ||
(A) bias in judgment or behavior that results | ||
from subtle cognitive processes, including implicit attitudes and | ||
stereotypes, that often operate at a level below conscious | ||
awareness and without intentional control; or | ||
(B) implicit attitudes and stereotypes that | ||
result in beliefs or simple associations that a person makes | ||
between an object and its evaluation that are automatically | ||
activated by the mere presence, actual or symbolic, of the attitude | ||
object. | ||
(b) The board shall approve coursework and training in | ||
cultural competence and implicit bias for purposes of Section | ||
156.0011 of this code and Section 51.310(c), Education Code. | ||
(c) Coursework and training approved under Subsection (b) | ||
must be: | ||
(1) designed to address medical decisions and | ||
treatment relating to a person's race, ethnicity, nationality, | ||
language, sex, gender, physical and mental ability, and | ||
socioeconomic status; and | ||
(2) developed in consultation with: | ||
(A) the Texas Higher Education Coordinating | ||
Board; and | ||
(B) the Association of American Medical Colleges | ||
or another nationally recognized organization that reviews medical | ||
school curricula. | ||
SECTION 3. Subchapter A, Chapter 156, Occupations Code, is | ||
amended by adding Section 156.0011 to read as follows: | ||
Sec. 156.0011. REQUIRED COURSEWORK OR TRAINING IN CULTURAL | ||
COMPETENCE AND IMPLICIT BIAS; WAIVER. (a) In this section, | ||
"cultural competence" and "implicit bias" have the meanings | ||
assigned by Section 153.017. | ||
(b) Except as provided by Subsection (d), the board may not | ||
issue a registration permit to or renew the registration permit of a | ||
person unless the person has successfully completed: | ||
(1) coursework in cultural competence and implicit | ||
bias as a student in a doctor of medicine or doctor of osteopathic | ||
medicine degree program as required by Section 51.310, Education | ||
Code; or | ||
(2) training in cultural competence and implicit bias | ||
approved by the board under Section 153.017(b). | ||
(c) A person who satisfies the requirements of Subsection | ||
(b) is not required to complete additional coursework or training | ||
described by that subsection for the subsequent renewal of the | ||
person's registration permit. | ||
(d) The board by rule shall establish the minimum number of | ||
hours of training necessary to satisfy Subsection (b)(2). A | ||
license holder may complete the training as part of the hours of | ||
continuing medical education completed to comply with Section | ||
156.051(a)(2). | ||
(e) The board may waive the requirements of this section for | ||
a person who demonstrates in a manner prescribed by the board that | ||
the person has successfully completed coursework or training that | ||
is substantially equivalent to that approved by the board under | ||
Section 153.017(b). | ||
SECTION 4. Not later than December 1, 2019, the Texas Higher | ||
Education Coordinating Board and the Texas Medical Board shall | ||
adopt the rules necessary to implement this Act. | ||
SECTION 5. (a) Section 51.310(c), Education Code, as added | ||
by this Act, applies only to a student who enrolls in a doctor of | ||
medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree | ||
program on or after January 1, 2020. | ||
(b) Section 156.0011(b), Occupations Code, as added by this | ||
Act, applies only to a registration permit issued or renewed on or | ||
after January 1, 2020. | ||
SECTION 6. This Act takes effect September 1, 2019. |