|(a) Statutory authority. The Palliative Care Interdisciplinary
Advisory Council (Council) is established in accordance with Texas
Health and Safety Code Chapter 118.
(b) Purpose. The Council assesses the availability
of patient-centered and family-focused, interdisciplinary team-based
palliative care in Texas for patients and families facing serious
illness. The Council works to ensure that relevant, comprehensive,
and accurate information and education about palliative care is available
to the public, health care providers, and health care facilities.
This includes information and education about complex symptom management,
care planning, and coordination needed to address the physical, emotional,
social, and spiritual suffering associated with serious illness.
(c) Tasks. The Council performs the following tasks:
(1) consults with and advises HHSC on matters related
to the establishment, maintenance, operation, and outcome evaluation
of the palliative care consumer and professional information and education
program established under Texas Health and Safety Code §118.011;
(2) studies and makes recommendations to remove barriers
to appropriate palliative care services for patients and families
facing serious illness in Texas of any age and at any stage of illness;
(3) pursues other deliverables consistent with its
purpose as requested by the Executive Commissioner or adopted into
the work plan or bylaws of the council.
(d) Reporting requirements.
(1) Reporting to Executive Commissioner. By December
31 of each year, the Council files a written report with the Executive
Commissioner that covers the meetings and activities in the immediately
preceding fiscal year. The report includes:
(A) a list of the meeting dates;
(B) the members' attendance records;
(C) a brief description of actions taken by the committee;
(D) a description of how the committee accomplished
(E) a summary of the status of any rules that the committee
recommended to HHSC;
(F) a description of activities the committee anticipates
undertaking in the next fiscal year;
(G) recommended amendments to this section; and
(H) the costs related to the committee, including the
cost of HHSC staff time spent supporting the committee's activities
and the source of funds used to support the committee's activities.
(2) Reporting to Executive Commissioner and Texas Legislature.
By October 1 of each even-numbered year, the Council submits a written
report to the Executive Commissioner and the standing committees of
the Texas senate and house with primary jurisdiction over health matters.
(A) assesses the availability of palliative care in
Texas for patients in the early stages of serious disease;
(B) analyzes barriers to greater access to palliative
(C) analyzes policies, practices, and protocols in
Texas concerning patients' rights related to palliative care, including:
(i) whether a palliative care team member may introduce
palliative care options to a patient without the consent of the patient's
attending physician or practitioner;
(ii) the practices and protocols for discussions between
a palliative care team member and a patient on life-sustaining treatment
or advance directives decisions; and
(iii) the practices and protocols on informed consent
and disclosure requirements for palliative care services; and
(D) provides recommendations consistent with the purposes
of the Council.
(e) Open meetings. The Council complies with the requirements
for open meetings under Texas Government Code Chapter 551 as if it
were a governmental body.
(1) The Council is composed of at least 15 voting members
appointed by the Executive Commissioner and nonvoting agency, ex officio
representatives as determined by the Executive Commissioner. Total
membership on the Council will not exceed 24.
(2) Voting membership.
(A) The Council must include:
(i) at least five physician members, including:
(I) two who are board certified in hospice and palliative
(II) one who is board certified in pain management;
(ii) three palliative care practitioner members, including:
(I) two advanced practice registered nurses who are
board-certified in hospice and palliative care; and
(II) one physician assistant who has experience providing
(iii) four health care professional members, including:
(I) a nurse;
(II) a social worker;
(III) a pharmacist; and
(IV) a spiritual-care professional; and
(iv) at least three members:
(I) with experience as an advocate for patients and
the patients' family caregivers;
(II) who are independent of a hospital or other health
care facility; and
(III) at least one of whom represents an established
patient advocacy organization.
(B) Health care professional members listed in subparagraph
(A)(iii) of this paragraph must meet one or more of the following
(i) experience providing palliative care to pediatric,
youth, or adult populations;
(ii) expertise in palliative care delivery in an inpatient,
outpatient, or community setting; or
(iii) expertise in interdisciplinary palliative care.
(C) In selecting voting members, the Executive Commissioner
considers ethnic and minority representation and geographic representation.
(D) Members are appointed to staggered terms so that
the terms of approximately one-quarter of the members' terms expire
on December 31 of each year.
(E) Except as necessary to stagger terms, the term
of each voting member is four years.
(g) Officers. The Council selects from its members
a presiding officer and an assistant presiding officer.
(1) The presiding officer serves until December 31
of each odd-numbered year. The assistant presiding officer serves
until December 31 of each even-numbered year.
(2) The presiding officer and the assistant presiding
officer remain in their positions until the Council selects a successor;
however, the individual may not remain in office past the individual's
(h) Required Training. Each member shall complete all
training on relevant statutes and rules, including this section and §351.801
of this subchapter (relating to Authority and General Provisions)
and Texas Government Code §531.012, and Texas Government Code
Chapters 551 and 2110. HHSC will provide the training.
(i) Abolition. The Council is required by statute and
will continue as long as the state law that requires it remains in
|Source Note: The provisions of this §351.827 adopted to be effective July 1, 2016, 41 TexReg 4432; amended to be effective January 27, 2020, 45 TexReg 523; amended to be effective December 8, 2020, 45 TexReg 8769