HBA-SEB S.B. 862 76(R) BILL ANALYSIS Office of House Bill AnalysisS.B. 862 By: Gallegos Public Health 4/30/1999 Engrossed BACKGROUND AND PURPOSE Currently, organ allocation is governed by the federal Organ Procurement and Transplantation Act, which gives the U.S. Department of Health and Human Services jurisdiction over the national organ allocation program. The United Network for Organ Sharing is a private organization contracted to administer the national Organ Procurement Transplant Network, which directs organ allocation. Under this system, organs are offered first to local patients waiting at transplant centers served by one of the three organ procurement organizations in Texas. S.B. 862 requires a qualified organ procurement organization to distribute a vascular organ for transplantation to an individual on a waiting list at a transplant center in this state. This bill authorizes the organization to transfer a vascular organ to an out-of-state recipient if a suitable recipient in this state cannot be found in a reasonable amount of time or if the transfer is made in accordance with a reciprocal agreement with an out-of-state organ procurement organization. This bill also establishes a public task force on organ allocation to examine the technical and policy issues surrounding the current organ allocation policy in this state and to develop and implement an optimum organ allocation policy for Texas. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that this bill does not expressly delegate any additional rulemaking authority to a state officer, department, agency, or institution. SECTION BY SECTION ANALYSIS SECTION 1. Amends Section 692.002, Health and Safety Code, by amending Subdivision (9) and adding Subdivisions (10) and (11), to redefine "qualified organ or tissue procurement organization" and to define "transplant center" and "waiting list." SECTION 2. Amends Section 692.005, Health and Safety Code, to authorize a qualified organ procurement organization to be a donee of gifts of bodies or parts for distribution to another person who is authorized to be a donee, to be used for transplantation. Redesignates Subdivisions (2)-(6) to (3)-(7). SECTION 3. Amends Section 692.006(a), Health and Safety Code, to provide that a qualified organ procurement organization in this state is considered the specified donee if the person dies in this state and does not specify the donee and the gift is a vascular organ that is suitable for transplantation. Authorizes the attending physician to accept the gift as donee at the time of death or after death for any other gift that is not made to a specified donee. SECTION 4. Amends Chapter 692, Health and Safety Code, by adding Section 692.0145, as follows: Sec. 692.0145. DISTRIBUTION OF VASCULAR ORGANS FOR TRANSPLANTATION. Requires a qualified organ procurement organization to distribute a vascular organ for transplantation to an individual on a waiting list at a transplant center in this state if the organization receives the gift of a vascular organ that is suitable for transplantation. Authorizes the organization to transfer a vascular organ to an out-of-state recipient if a suitable recipient in this state cannot be found in a reasonable amount of time or if the transfer is made in accordance with a reciprocal agreement with an out-of-state organ procurement organization. SECTION 5. Amends Chapter 692, Health and Safety Code, by adding Section 692.0147, as follows: Sec. 692.0147. OPTIMUM ORGAN ALLOCATION POLICY. (a) Defines "department" and "task force." (b) Requires the Texas Department of Health (TDH) to establish a 13-member public task force on organ allocation in this state by July 1, 1999. Sets forth the composition of the task force. (c) Requires the task force, by October 1, 2000, to examine the technical and policy issues surrounding the current organ allocation policy in this state and to develop and implement an optimum organ allocation policy for Texas. Requires the policy to consider specific criteria, including federal guidelines, the utility of each organ recovered, the efficiency and productivity of each organ procurement region, waiting times at each transplant center in this state, standardized listing criteria for transplant candidates, the role that local transplant centers and referral patterns play in providing access to care in this state, community efforts to encourage organ procurement, and the need to encourage organ sharing within each region of the state. (d) Requires the task force, not later than December 1, 2000, to submit a detailed, written report to the governor and the legislature. Requires the report to include the components of the optimum organ allocation policy and the recommendations for legislation that the task force considers necessary to implement the optimum organ allocation policy, if appropriate. (e) Requires TDH to provide administrative support and services to the task force. (f) Provides that task force members receive no compensation for their service. (g) Authorizes TDH to receive and accept gifts, grants, donations, and any other type of funds or things of value from any source to carry out the duties and responsibilities of the task force, in addition to any funds appropriated. (h) Provides that this section expires and the task force is abolished December 31, 2000. SECTION 6.Emergency clause. Effective date: upon passage.