89R2533 JTZ-D     By: González of El Paso H.B. No. 5537       A BILL TO BE ENTITLED   AN ACT   relating to the prescriptive authority of certain psychologists;   authorizing a fee.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.   Section 501.003(a)(1), Occupations Code, is   amended to read as follows:                (1)  "Practice of psychology" means:                      (A)  the observation, description, diagnosis,   evaluation, assessment, interpretation, or treatment of and   intervention in human behavior by applying education, training,   methods, and procedures for the purpose of:                            (i)  preventing, predicting, treating,   remediating, or eliminating:                                  (a)  symptomatic, maladaptive, or   undesired behavior;                                  (b)  emotional, interpersonal,   learning, substance use, neuropsychological, cognitive, or   behavioral disorders or disabilities, including those that   accompany medical problems; or                                  (c)  mental illness;                            (ii)  evaluating, assessing, or   facilitating, by a license holder or a person who represents the   person to the public by a title or description of services that   includes the word "psychological," "psychologist," or   "psychology," the enhancement of individual, group, or   organizational effectiveness, including evaluating, assessing, or   facilitating:                                  (a)  personal effectiveness;                                  (b)  adaptive behavior;                                  (c)  interpersonal relationships;                                  (d)  academic, vocational, and life   adjustment;                                  (e)  health; or                                  (f)  individual, group, or   organizational performance;                            (iii)  providing psychological,   neuropsychological, and psychoeducational evaluation, therapy, and   remediation as well as counseling, psychoanalysis, psychotherapy,   hypnosis, and biofeedback; or                            (iv)  consulting with others, including   other mental health professionals, physicians, school personnel,   or organizations within the scope of the provider's competency and   training with respect to services provided for a specific   individual; [or]                      (B)  action taken under the authority granted by a   certificate issued under Subchapter H-1; or                      (C)  the supervision of an activity or service   described by Paragraph (A) or (B).          SECTION 2.  Section 501.051, Occupations Code, is amended by   amending Subsection (b) and adding Subsection (b-1) to read as   follows:          (b)  To ensure adequate representation on the board of the   diverse fields of psychology, the governor in making appointments   under Subsection (a)(1) shall appoint:                (1)  at least two members who provide psychological   services;                (2)  at least two members who hold certificates issued   under Subchapter H-1;                (3)  at least one member who conducts research in the   field of psychology; and                (4) [(3)]  at least one member who teaches as a member   of the faculty of a psychological training institution.          (b-1)  Notwithstanding Subsection (b)(2), a person satisfies   the requirement of that subdivision if the person has completed the   requirements of Sections 501.372(b)(1) and (2), regardless of   whether the person has been issued a certificate under Subchapter   H-1. This subsection expires October 31, 2029.          SECTION 3.  Subchapter D, Chapter 501, Occupations Code, is   amended by adding Section 501.152 to read as follows:          Sec. 501.152.  ADVISORY COMMITTEE ON PRESCRIPTIVE   AUTHORITY. (a) The executive council shall appoint an advisory   committee on prescriptive authority for psychologists.          (a-1)  Effective September 1, 2025, the advisory committee   consists of six members as follows:                (1)  three members who are psychologists, each of whom   has completed the requirements of Sections 501.372(b)(1) and (2);                (2)  one member who is a psychiatrist;                (3)  one member who is a pediatrician or primary care   physician with experience in child and adolescent medicine; and                (4)  one member who represents the public.          (a-2)  In appointing members under Subsection (a-1)(1), the   executive council shall give preference to psychologists who have   previously been licensed or certified to prescribe drugs in another   jurisdiction.  This subsection and Subsection (a-1) expire   September 1, 2028.          (b)  Effective September 1, 2028, the advisory committee   consists of six members as follows:                (1)  five members who each hold a certificate issued   under Subchapter H-1; and                (2)  one member who represents the public.          (c)  A member appointed to represent the public may not have   a significant financial interest, as determined by executive   council rule, in the practice of psychology or prescriptive   authority for psychologists.          (d)  The advisory committee shall make recommendations to   the executive council and board regarding the regulation of   psychologists who hold certificates issued under Subchapter H-1,   including recommendations concerning rules to establish:                (1)  eligibility requirements;                (2)  standards of practice for certificate holders;                 (3)  continuing education requirements;                (4)  requirements regarding the use of appropriate   prescription drug monitoring programs by a psychologist with a   certificate issued under Subchapter H-1;                (5)  requirements for training programs described by   Section 501.372(b)(1)(B);                (6)  guidelines and procedures for peer review of a   psychologist with a conditional prescription certificate issued   under Section 501.372;                (7)  procedures for the review of an applicant under   Section 501.379; and                (8)  procedures for the review of a complaint involving   a psychologist with a certificate issued under Subchapter H-1.          (e)  Chapter 2110, Government Code, does not apply to the   composition or duration of the advisory committee.          SECTION 4.  Chapter 501, Occupations Code, is amended by   adding Subchapter H-1 to read as follows:   SUBCHAPTER H-1. PRESCRIPTION CERTIFICATE          Sec. 501.371.  DEFINITIONS. In this subchapter:                (1)  "Prescribing psychologist" means a psychologist   to whom a prescription certificate or conditional prescription   certificate has been issued under this subchapter.                (2)  "Prescription drug" and "prescription drug order"   have the meanings assigned by Section 551.003.                (3)  "Psychotropic medication" means a controlled   substance, as defined by Section 481.002, Health and Safety Code,   or dangerous drug, as defined by Section 483.001, Health and Safety   Code, that is used for the diagnosis, treatment, or management of   mental, nervous, emotional, behavioral, substance use, or   cognitive disorders.                (4)  "Supervising clinician" means a physician or   psychologist who meets the requirements of Section 501.382 to   supervise a psychologist with a conditional prescription   certificate.          Sec. 501.372.  CONDITIONAL PRESCRIPTION CERTIFICATE. (a)   The executive council shall issue a conditional prescription   certificate to a psychologist who:                (1)  meets the eligibility requirements of Subsection   (b);                (2)  submits an application on a form prescribed by the   executive council;                (3)  has not, in the two-year period preceding the date   of the application, had a certificate under this subchapter   revoked; and                (4)  pays the fee set by the executive council.          (b)  To be eligible for a conditional prescription   certificate a psychologist must:                (1)  have completed a training program in   psychopharmacology from:                      (A)  a postdoctoral education and training   program that has received designation in psychopharmacology from   the American Psychological Association; or                       (B)  a psychopharmacology training program   approved by the executive council that includes instruction in:                            (i)  basic life sciences;                            (ii)  neuroscience;                            (iii)  clinical and research pharmacology   and psychopharmacology;                            (iv)  clinical pathophysiology;                            (v)  physical assessments and laboratory   examinations;                            (vi)  clinical pharmacotherapeutics; and                            (vii)  ethical and legal issues relevant to   prescriptive authority and associated research;                (2)  pass a nationally recognized examination approved   by the executive council in the area of prescriptive authority;                (3)  provide evidence of professional liability   coverage in amounts required by executive council rule;                (4)  have completed a practicum in clinical assessment   and pathophysiology under the supervision of a physician that   included not less than 80 hours of supervised practice;                (5)  have completed, under the supervision of a   physician or psychologist with a prescription certificate issued   under Section 501.373, a practicum consisting of not less than 400   hours observing, participating in, or assisting in the treatment of   mental disorders with psychotropic medication in not less than 100   patients;                (6)  have completed training approved by the executive   council on the administration of psychotropic medications by   injection; and                (7)  satisfy any other requirement of executive council   rule.          (c)  A psychologist who holds a conditional prescription   certificate is authorized to:                (1)  issue a prescription drug order;                (2)  administer or dispense a prescription drug;                (3)  order tests commonly associated with monitoring   the use of prescription drugs;                (4)  represent that the psychologist holds a   conditional prescription certificate; and                (5)  under the supervision of a supervising clinician,   administer a psychotropic medication by injection.          (d)  A psychologist who holds a conditional prescription   certification shall notify the executive council of the name of the   psychologist's supervising clinician in accordance with executive   council rule.          Sec. 501.373.  PRESCRIPTION CERTIFICATE. (a) The executive   council shall issue a prescription certificate to a psychologist   who:                (1)  meets the eligibility requirements of Subsection   (b);                (2)  submits an application on a form prescribed by the   executive council;                (3)  has not, in the two-year period preceding the date   of the application, had a certificate under this subchapter   revoked; and                (4)  pays the fee set by the executive council.          (b)  To be eligible for a prescription certificate a   psychologist must:                (1)  have a conditional prescription certificate   issued under Section 501.372;                (2)  have not less than two years of experience   prescribing psychotropic medication under a supervising clinician;                (3)  have completed an independent peer review of the   applicant's experience described by Subdivision (2) as provided by   executive council rule;                (4)  have completed training approved by the executive   council on the administration of psychotropic medications by   injection;                (5)  provide evidence of professional liability   coverage in amounts required by executive council rule; and                (6)  satisfy any other requirement of executive council   rule.          (c)  A psychologist who holds a prescription certificate is   authorized to:                 (1)  issue a prescription drug order;                 (2)  administer or dispense a prescription drug;                 (3)  order tests commonly associated with monitoring   the use of prescription drugs;                 (4)  represent that the psychologist holds a   prescription certificate; and                (5)  administer a psychotropic medication by   injection.          Sec. 501.374.  REQUIREMENTS FOR PRESCRIPTION DRUG ORDER. A   prescription drug order issued by a prescribing psychologist must:                (1)  comply with applicable state and federal law; and                (2)  include:                      (A)  a statement that the order is issued by a   "psychologist certified to prescribe"; and                      (B)  the psychologist's certificate number.          Sec. 501.375.  NOTICE TO PRIMARY CARE PRACTITIONER. (a) A   prescribing psychologist shall notify a patient's primary care   practitioner not later than:                (1)  72 hours after the time the psychologist issues   for the patient a prescription drug order for a psychotropic   medication or changes the type or dosage of a psychotropic   medication for the patient; and                (2)  the 20th day after the date the psychologist   issues for the patient a prescription drug order for a drug to   manage or protect from a side effect of a psychotropic medication.          (b)  A primary care practitioner is not liable for an act of a   prescribing psychologist based solely on the practitioner   receiving a notice under Subsection (a).          (c)  This section does not require a prescribing   psychologist to give notice to or obtain approval from the   patient's primary care practitioner before prescribing a drug to a   patient with whom the psychologist has established a   psychologist-patient relationship.          Sec. 501.376.  DRUG ENFORCEMENT ADMINISTRATION REGISTRATION   NUMBER. A prescribing psychologist who has a current federal Drug   Enforcement Administration registration number shall submit   information regarding that registration to the executive council in   accordance with executive council rule.          Sec. 501.377.  RECORDS. A prescribing psychologist shall   maintain a record of all prescription drug orders issued by the   psychologist with the applicable patient record.           Sec. 501.378.  DELEGATION PROHIBITED. A prescribing   psychologist may not delegate to any other person the authority to   perform any act for which a certificate issued under this   subchapter is required.          Sec. 501.379.  ISSUANCE OF CERTIFICATE TO PRESCRIBING   PSYCHOLOGIST FROM ANOTHER JURISDICTION. The executive council   shall issue a prescription certificate under Section 501.373 to a   psychologist who:                (1)  has previously been authorized to prescribe   psychotropic medication for not less than three years in another   jurisdiction if the other jurisdiction's requirements for the   authorization are substantially equal to the requirements of   Section 501.373;                (2)  provides evidence of professional liability   coverage in amounts required by executive council rule; and                (3)  satisfies any other requirement adopted by   executive council rule.          Sec. 501.380.  EXPIRATION AND RENEWAL. The executive   council shall adopt rules providing for the expiration and renewal   of a certificate under this subchapter. The rules must provide that   a license holder's certificate expires on the same date as the   license under this chapter.          Sec. 501.381.  CONTINUING EDUCATION. The executive council   shall adopt rules requiring a psychologist with a prescription   certificate issued under Section 501.373 to complete continuing   education on the prescribing of psychotropic medications as a   requirement to renew the certificate.          Sec. 501.382.  REQUIREMENT OF SUPERVISING CLINICIAN. (a) A   person may not act as a supervising clinician for a psychologist   with a conditional prescription certificate unless the person:                (1)  is a physician or psychologist with a prescription   certificate issued under Section 501.373; and                (2)  has not less than three years of experience   prescribing psychotropic medications.          (b)  A physician or psychologist acting as a supervising   clinician shall notify the Texas Medical Board or the executive   council, as applicable, of that fact and of the name of each   psychologist being supervised in accordance with rules of the Texas   Medical Board or executive council.          (c)  A supervising clinician may not supervise more than the   full-time equivalent of seven psychologists, as determined by   executive council rule.          (d)  A supervising clinician may supervise a psychologist   with a conditional prescription certificate through in-person   meetings or by use of telecommunications technology.          Sec. 501.383.  LIMITATION ON LIABILITY OF SUPERVISING   CLINICIAN. A supervising clinician is not liable for any injury or   loss resulting from the acts of a psychologist under the   clinician's supervision unless the injury or loss arose from an act   under the direction or control of the clinician.          Sec. 501.384.  DISCIPLINARY ACTION. The executive council   may deny, revoke, suspend, or refuse to renew a certificate issued   under this subchapter if the certificate holder violates this   chapter or a rule adopted under this chapter.           Sec. 501.385.  RULES. The executive council shall adopt   rules to implement this subchapter.          SECTION 5.  Section 481.002(39), Health and Safety Code, is   amended to read as follows:                (39)  "Practitioner" means:                      (A)  a physician, dentist, veterinarian,   podiatrist, scientific investigator, psychologist, or other person   licensed, registered, or otherwise permitted to distribute,   dispense, analyze, conduct research with respect to, or administer   a controlled substance in the course of professional practice or   research in this state;                      (B)  a pharmacy, hospital, or other institution   licensed, registered, or otherwise permitted to distribute,   dispense, conduct research with respect to, or administer a   controlled substance in the course of professional practice or   research in this state;                      (C)  a person practicing in and licensed by   another state as a physician, dentist, veterinarian, psychologist,   or podiatrist, having a current Federal Drug Enforcement   Administration registration number, who may legally prescribe   Schedule II, III, IV, or V controlled substances in that state; or                      (D)  an advanced practice registered nurse or   physician assistant to whom a physician has delegated the authority   to prescribe or order a drug or device under Section 157.0511,   157.0512, or 157.054, Occupations Code.          SECTION 6.  Section 481.074(d), Health and Safety Code, is   amended to read as follows:          (d)  Except as specified in Subsections (e) and (f), the   board, by rule and in consultation with the Texas Medical Board and   the Texas Behavioral Health Executive Council, shall establish the   period after the date on which the prescription is issued that a   person may fill a prescription for a controlled substance listed in   Schedule II. A person may not refill a prescription for a substance   listed in Schedule II.          SECTION 7.  Sections 481.076(a) and (c), Health and Safety   Code, are amended to read as follows:          (a)  The board may not permit any person to have access to   information submitted to the board under Section 481.074(q) or   481.075 except:                (1)  the board, the Texas Medical Board, the Texas   Department of Licensing and Regulation, with respect to the   regulation of podiatrists, the State Board of Dental Examiners, the   State Board of Veterinary Medical Examiners, the Texas Board of   Nursing, [or] the Texas Optometry Board, or the Texas Behavioral   Health Executive Council, with respect to the regulation of   psychologists, for the purpose of:                      (A)  investigating a specific license holder; or                      (B)  monitoring for potentially harmful   prescribing or dispensing patterns or practices under Section   481.0762;                (2)  an authorized employee of the board engaged in the   administration, investigation, or enforcement of this chapter or   another law governing illicit drugs in this state or another state;                (3)  the department or other law enforcement or   prosecutorial official engaged in the administration,   investigation, or enforcement of this chapter or another law   governing illicit drugs in this state or another state, if the board   is provided a warrant, subpoena, or other court order compelling   the disclosure;                (4)  a medical examiner conducting an investigation;                (5)  provided that accessing the information is   authorized under the Health Insurance Portability and   Accountability Act of 1996 (Pub. L. No. 104-191) and regulations   adopted under that Act:                      (A)  a pharmacist or a pharmacist-intern,   pharmacy technician, or pharmacy technician trainee, as defined by   Section 551.003, Occupations Code, acting at the direction of a   pharmacist, who is inquiring about a recent Schedule II, III, IV, or   V prescription history of a particular patient of the pharmacist;   or                      (B)  a practitioner who:                            (i)  is a physician, dentist, veterinarian,   podiatrist, optometrist, psychologist, or advanced practice nurse   or is a physician assistant described by Section 481.002(39)(D) or   an employee or other agent of a practitioner acting at the direction   of a practitioner; and                            (ii)  is inquiring about a recent Schedule   II, III, IV, or V prescription history of a particular patient of   the practitioner;                (6)  a pharmacist or practitioner who is inquiring   about the person's own dispensing or prescribing activity or a   practitioner who is inquiring about the prescribing activity of an   individual to whom the practitioner has delegated prescribing   authority;                (7)  one or more states or an association of states with   which the board has an interoperability agreement, as provided by   Subsection (j);                (8)  a health care facility certified by the federal   Centers for Medicare and Medicaid Services; or                (9)  the patient, the patient's parent or legal   guardian, if the patient is a minor, or the patient's legal   guardian, if the patient is an incapacitated person, as defined by   Section 1002.017(2), Estates Code, inquiring about the patient's   prescription record, including persons who have accessed that   record.          (c)  The board by rule shall design and implement a system   for submission of information to the board by electronic or other   means and for retrieval of information submitted to the board under   this section and Sections 481.074 and 481.075. The board shall use   automated information security techniques and devices to preclude   improper access to the information. The board shall submit the   system design to the director, [and] the Texas Medical Board, and   the Texas Behavioral Health Executive Council for review and   comment a reasonable time before implementation of the system and   shall comply with the comments of those agencies unless it is   unreasonable to do so.          SECTION 8.  Section 483.001(12), Health and Safety Code, is   amended to read as follows:                (12)  "Practitioner" means:                      (A)  a person [licensed by]:                            (i)  licensed by the Texas Medical Board,   State Board of Dental Examiners, Texas Optometry Board, or State   Board of Veterinary Medical Examiners to prescribe and administer   dangerous drugs; [or]                            (ii)  licensed by the Texas Department of   Licensing and Regulation, with respect to podiatry, to prescribe   and administer dangerous drugs; or                            (iii)  certified by the Texas Behavioral   Health Executive Council, with respect to psychology, to prescribe   and administer dangerous drugs;                      (B)  a person licensed by another state in a   health field in which, under the laws of this state, a licensee may   legally prescribe dangerous drugs;                      (C)  a person licensed in Canada or Mexico in a   health field in which, under the laws of this state, a licensee may   legally prescribe dangerous drugs; or                      (D)  an advanced practice registered nurse or   physician assistant to whom a physician has delegated the authority   to prescribe or order a drug or device under Section 157.0511,   157.0512, or 157.054, Occupations Code.          SECTION 9.  Sections 576.025(b), (c), (e), and (f), Health   and Safety Code, are amended to read as follows:          (b)  Consent to the administration of psychoactive   medication given by a patient or by a person authorized by law to   consent on behalf of the patient is valid only if:                (1)  the consent is given voluntarily and without   coercive or undue influence;                (2)  the treating physician, a treating psychologist   who holds a certificate issued under Subchapter H-1, Chapter 501,   Occupations Code, or a person designated by the physician or   psychologist, provided the following information, in a standard   format approved by the department, to the patient and, if   applicable, to the patient's representative authorized by law to   consent on behalf of the patient:                      (A)  the specific condition to be treated;                      (B)  the beneficial effects on that condition   expected from the medication;                      (C)  the probable health and mental health   consequences of not consenting to the medication;                      (D)  the probable clinically significant side   effects and risks associated with the medication;                      (E)  the generally accepted alternatives to the   medication, if any, and why the physician or psychologist   recommends that they be rejected; and                      (F)  the proposed course of the medication;                (3)  the patient and, if appropriate, the patient's   representative authorized by law to consent on behalf of the   patient is informed in writing that consent may be revoked; and                (4)  the consent is evidenced in the patient's clinical   record by a signed form prescribed by the facility or by a statement   of the [treating] physician or psychologist described by   Subdivision (2), or a person designated by the physician or the   psychologist, that documents that consent was given by the   appropriate person and the circumstances under which the consent   was obtained.          (c)  If the [treating] physician or psychologist described   by Subsection (b)(2) designates another person to provide the   information under Subsection (b), then, not later than two working   days after that person provides the information, excluding weekends   and legal holidays, the physician or psychologist shall meet with   the patient and, if appropriate, the patient's representative who   provided the consent, to review the information and answer any   questions.          (e)  In prescribing psychoactive medication, a [treating]   physician or psychologist described by Subsection (b)(2) shall:                (1)  prescribe, consistent with clinically appropriate   medical care, the medication that has the fewest side effects or the   least potential for adverse side effects, unless the class of   medication has been demonstrated or justified not to be effective   clinically; and                (2)  administer the smallest therapeutically   acceptable dosages of medication for the patient's condition.          (f)  If a physician or psychologist described by Subsection   (b)(2) issues an order to administer psychoactive medication to a   patient without the patient's consent because the patient is having   a medication-related emergency:                (1)  the physician or psychologist shall document in   the patient's clinical record in specific medical or behavioral   terms the necessity of the order and that the physician or   psychologist has evaluated but rejected other generally accepted,   less intrusive forms of treatment, if any; and                (2)  treatment of the patient with the psychoactive   medication shall be provided in the manner, consistent with   clinically appropriate medical care, least restrictive of the   patient's personal liberty.          SECTION 10.  Section 301.002(2), Occupations Code, is   amended to read as follows:                (2)  "Professional nursing" means the performance of an   act that requires substantial specialized judgment and skill, the   proper performance of which is based on knowledge and application   of the principles of biological, physical, and social science as   acquired by a completed course in an approved school of   professional nursing. The term does not include acts of medical   diagnosis or the prescription of therapeutic or corrective   measures. Professional nursing involves:                      (A)  the observation, assessment, intervention,   evaluation, rehabilitation, care and counsel, or health teachings   of a person who is ill, injured, infirm, or experiencing a change in   normal health processes;                      (B)  the maintenance of health or prevention of   illness;                      (C)  the administration of a medication or   treatment as ordered by a health care practitioner legally   authorized to prescribe the medication or treatment [physician,   podiatrist, or dentist];                      (D)  the supervision or teaching of nursing;                      (E)  the administration, supervision, and   evaluation of nursing practices, policies, and procedures;                      (F)  the requesting, receiving, signing for, and   distribution of prescription drug samples to patients at practices   at which an advanced practice registered nurse is authorized to   sign prescription drug orders as provided by Subchapter B, Chapter   157;                      (G)  the performance of an act delegated by a   physician under Section 157.0512, 157.054, 157.058, or 157.059; and                      (H)  the development of the nursing care plan.          SECTION 11.  Section 551.003(34), Occupations Code, is   amended to read as follows:                (34)  "Practitioner" means:                      (A)  a person licensed, certified, or registered   to prescribe, distribute, administer, or dispense a prescription   drug or device in the course of professional practice in this state,   including a physician, dentist, podiatrist, psychologist, or   veterinarian but excluding a person licensed under this subtitle;                      (B)  a person licensed by another state, Canada,   or the United Mexican States in a health field in which, under the   law of this state, a license or certificate holder in this state may   legally prescribe a dangerous drug;                      (C)  a person practicing in another state and   licensed by another state as a physician, dentist, veterinarian,   psychologist, or podiatrist, who has a current federal Drug   Enforcement Administration registration number and who may legally   prescribe a Schedule II, III, IV, or V controlled substance, as   specified under Chapter 481, Health and Safety Code, in that other   state; or                      (D)  an advanced practice registered nurse or   physician assistant to whom a physician has delegated the authority   to prescribe or order a drug or device under Section 157.0511,   157.0512, or 157.054.          SECTION 12.  Section 501.051(b), Occupations Code, as   amended by this Act, does not affect the entitlement of a member   serving on the Texas State Board of Examiners of Psychologists   immediately before the effective date of this Act to continue to   serve for the remainder of the member's term. With the first   appointment of a member described by Section 501.051(a)(1),   Occupations Code, to be made by the governor on or after the   effective date of this Act, the governor shall appoint a member to   the board who has the qualifications required by Section   501.051(b), Occupations Code, as amended by this Act.          SECTION 13.  (a) Not later than December 1, 2025, the Texas   Behavioral Health Executive Council shall appoint members of the   advisory committee in accordance with Section 501.152(a-1),   Occupations Code, as added by this Act.          (b)  Not later than June 1, 2026, the advisory committee   shall make initial recommendations to the Texas Behavioral Health   Executive Council and the Texas State Board of Examiners of   Psychologists as described by Section 501.152(d), Occupations   Code, as added by this Act.          (c)  Not later than September 1, 2028, the Texas Behavioral   Health Executive Council shall appoint members to the advisory   committee so that the composition of the committee complies with   Section 501.152(b), Occupations Code, as added by this Act.          SECTION 14.  Not later than December 1, 2026, the Texas   Behavioral Health Executive Council shall adopt rules and   procedures necessary to implement Subchapter H-1, Chapter 501,   Occupations Code, as added by this Act.          SECTION 15.  This Act takes effect September 1, 2025.