House Bill No. 4590 proposes the establishment of a cardiac arrest registry in Texas, specifically targeting individuals under the age of 36. The University of Texas Southwestern Medical Center is designated as the center responsible for creating and maintaining this registry, which will collect data on the incidence and causes of cardiac arrest among this demographic. Physicians are required to submit detailed information regarding any cardiac arrest deaths within 60 days, including the individual's age, time and date of death, circumstances surrounding the event, and any relevant health information, such as COVID-19 status.

Additionally, the bill mandates that the registry's information be accessible to physicians caring for student athletes, ensuring that the data is aggregated and machine-readable for ease of navigation. An annual report summarizing the registry's findings must be submitted to the legislature every two years. To enforce compliance, the Texas Medical Board is authorized to impose administrative penalties of up to $500 on physicians who fail to adhere to the reporting requirements. The act is set to take effect on September 1, 2025.

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