1-1  By:  Kubiak (Senate Sponsor - Zaffirini)               H.B. No. 241
    1-2        (In the Senate - Received from the House April 5, 1993;
    1-3  April 5, 1993, read first time and referred to Committee on Health
    1-4  and Human Services; May 5, 1993, reported adversely, with favorable
    1-5  Committee Substitute by the following vote:  Yeas 7, Nays 0;
    1-6  May 5, 1993, sent to printer.)
    1-7                            COMMITTEE VOTE
    1-8                          Yea     Nay      PNV      Absent 
    1-9        Zaffirini          x                               
   1-10        Ellis              x                               
   1-11        Madla                                          x   
   1-12        Moncrief           x                               
   1-13        Nelson             x                               
   1-14        Patterson          x                               
   1-15        Shelley            x                               
   1-16        Truan              x                               
   1-17        Wentworth                                      x   
   1-18  COMMITTEE SUBSTITUTE FOR H.B. No. 241                By:  Zaffirini
   1-19                         A BILL TO BE ENTITLED
   1-20                                AN ACT
   1-21  relating to the recertification of emergency medical services
   1-22  personnel.
   1-23        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-24        SECTION 1.  Section 773.050(b), Health and Safety Code, is
   1-25  amended to read as follows:
   1-26        (b)  The board by rule shall establish minimum standards for:
   1-27              (1)  staffing an advanced life-support emergency
   1-28  medical services vehicle, a mobile intensive-care unit, or a
   1-29  specialized emergency medical services vehicle;
   1-30              (2)  emergency medical services personnel certification
   1-31  and performance, including certification, decertification,
   1-32  recertification, suspension, emergency suspension, and probation;
   1-33              (3)  the approval of courses and training programs, the
   1-34  certification of program instructors, examiners, and course
   1-35  coordinators for emergency medical services personnel training, and
   1-36  the revocation and probation of an approval or certification;
   1-37              (4)  continuing education programs and examinations of
   1-38  emergency medical services personnel;
   1-39              (5)  medical supervision of advanced life-support
   1-40  systems;
   1-41              (6) <(5)>  granting, suspending, and revoking a license
   1-42  for emergency medical services providers; and
   1-43              (7) <(6)>  emergency medical services vehicles.
   1-44        SECTION 2.  Sections 773.055(a), (b), and (d), Health and
   1-45  Safety Code, are amended to read as follows:
   1-46        (a)  A nonrefundable fee must accompany each application <for
   1-47  examination> for emergency medical services personnel
   1-48  certification.  The fee may not exceed:
   1-49              (1)  $75 for examination for certification <or
   1-50  recertification> of an emergency medical technician-paramedic or
   1-51  emergency medical technician-intermediate; <or>
   1-52              (2)  $50 for examination for certification <or
   1-53  recertification> of an emergency medical technician or emergency
   1-54  care attendant;
   1-55              (3)  $75 for recertification of an emergency medical
   1-56  technician-paramedic or emergency medical technician-intermediate;
   1-57  or
   1-58              (4)  $50 for recertification of an emergency medical
   1-59  technician or emergency care attendant.
   1-60        (b)  Except as provided by Subsection (c), the department
   1-61  shall notify each examinee of the results of an examination for
   1-62  certification <or recertification> not later than the 30th day
   1-63  after the date on which the examination is administered.
   1-64        (d)  The department shall furnish a person who fails an
   1-65  examination for certification <or recertification> with an analysis
   1-66  of the person's performance on the examination if requested in
   1-67  writing by that person.  The board may adopt rules to allow a
   1-68  person who fails the examination to retake all or part of the
    2-1  examination.  A fee of $25 must accompany each application for
    2-2  reexamination.
    2-3        SECTION 3.  Section 773.059(a), Health and Safety Code, is
    2-4  amended to read as follows:
    2-5        (a)  Except as provided by Subsection (b), a person applying
    2-6  for recertification whose application is received after the
    2-7  expiration date of the person's certificate must pay a late fee of
    2-8  $25 <in addition to the examination fee>.
    2-9        SECTION 4.  The importance of this legislation and the
   2-10  crowded condition of the calendars in both houses create an
   2-11  emergency and an imperative public necessity that the
   2-12  constitutional rule requiring bills to be read on three several
   2-13  days in each house be suspended, and this rule is hereby suspended,
   2-14  and that this Act take effect and be in force from and after its
   2-15  passage, and it is so enacted.
   2-16                               * * * * *
   2-17                                                         Austin,
   2-18  Texas
   2-19                                                         May 5, 1993
   2-20  Hon. Bob Bullock
   2-21  President of the Senate
   2-22  Sir:
   2-23  We, your Committee on Health and Human Services to which was
   2-24  referred H.B. No. 241, have had the same under consideration, and I
   2-25  am instructed to report it back to the Senate with the
   2-26  recommendation that it do not pass, but that the Committee
   2-27  Substitute adopted in lieu thereof do pass and be printed.
   2-28                                                         Nelson,
   2-29  Acting Chair
   2-30                               * * * * *
   2-31                               WITNESSES
   2-32                                                  FOR   AGAINST  ON
   2-33  ___________________________________________________________________
   2-34  Name:  Charlie Hester                            x
   2-35  Representing:  ST Firemans & Fire Marshall
   2-36  City:  Austin
   2-37  -------------------------------------------------------------------
   2-38  Name:  Jose B. Maestas                           x
   2-39  Representing:  Century Amb Inc.
   2-40  City:  Mesquite
   2-41  -------------------------------------------------------------------
   2-42  Name:  Darryl Quigley                            x
   2-43  Representing:  Central Ambulance Service
   2-44  City:  Dallas
   2-45  -------------------------------------------------------------------
   2-46  Name:  James P. Dempsey                          x
   2-47  Representing:  Self
   2-48  City:  Laredo
   2-49  -------------------------------------------------------------------
   2-50  Name:  Bill Aston                                              x
   2-51  Representing:  Harlingen San Benito, So Padr
   2-52  City:  Harlingen
   2-53  -------------------------------------------------------------------
   2-54  Name:  Susan Steeg                                             x
   2-55  Representing:  TDH
   2-56  City:  Austin
   2-57  -------------------------------------------------------------------
   2-58  Name:  Faye Thomas                               x
   2-59  Representing:  Tx Ambulance Asso.
   2-60  City:  Dallas
   2-61  -------------------------------------------------------------------
   2-62                                                  FOR   AGAINST  ON
   2-63  ___________________________________________________________________
   2-64  Name:  Tina G. Gills                                     x
   2-65  Representing:  Luling Emergency Med Ser
   2-66  City:  Luling
   2-67  -------------------------------------------------------------------
   2-68  Name:  Rick Nash                                 x
   2-69  Representing:  City of Bedford
   2-70  City:  Bedford
    3-1  -------------------------------------------------------------------
    3-2  Name:  Bobby J. Sewell                           x
    3-3  Representing:  Bedford Fire Dept.
    3-4  City:  Bedford
    3-5  -------------------------------------------------------------------
    3-6  Name:  Greg Hooser                               x
    3-7  Representing:  Tx College Emr Physicians
    3-8  City:  Austin
    3-9  -------------------------------------------------------------------
   3-10  Name:  John F. Gwin, MD                                  x
   3-11  Representing:  Emergency Physicians Advisory
   3-12  City:  Fort Worth
   3-13  -------------------------------------------------------------------
   3-14  Name:  Tom Ward                                          x
   3-15  Representing:  Med Dir City Plano
   3-16  City:  Plano
   3-17  -------------------------------------------------------------------
   3-18  Name:  Nancy King                                        x
   3-19  Representing:  Schertz Area Facility Emerge
   3-20  City:  Schertz
   3-21  -------------------------------------------------------------------
   3-22  Name:  Dr. Donovan Butter                                x
   3-23  Representing:  Tx EMS Advisory Council
   3-24  City:  San Antonio
   3-25  -------------------------------------------------------------------
   3-26  Name:  Scott W. Smith                            x
   3-27  Representing:  Scott & White
   3-28  City:  Temple
   3-29  -------------------------------------------------------------------
   3-30  Name:  D. Clay Yandell                           x
   3-31  Representing:  Richland Hills Fire Dept.
   3-32  City:  Richland Hills
   3-33  -------------------------------------------------------------------
   3-34  Name:  Clyde A. Stoody, II                       x
   3-35  Representing:  Colleyville Fire Dept
   3-36  City:  Fort Worth
   3-37  -------------------------------------------------------------------
   3-38  Name:  Tracey N. Whistler                        x
   3-39  Representing:  Hurst Fire Dept
   3-40  City:  Hurst
   3-41  -------------------------------------------------------------------
   3-42  Name:  Ron Haussecker                            x
   3-43  Representing:  Washington Co Ems
   3-44  City:  Brenham
   3-45  -------------------------------------------------------------------
   3-46  Name:  David B. Anderson                         x
   3-47  Representing:  Grapevine Fire Dept
   3-48  City:  Grapevine
   3-49  -------------------------------------------------------------------
   3-50  Name:  Jim McDonald                              x
   3-51  Representing:  Tarrant Co Fire Fighter Asso
   3-52  City:  Crowley
   3-53  -------------------------------------------------------------------
   3-54  Name:  Mike Duncan                               x
   3-55  Representing:  Tarrant Co EMS Med Ser
   3-56  City:  No Richland Hills
   3-57  -------------------------------------------------------------------
   3-58  Name:  Mark Martin                               x
   3-59  Representing:  DeSoto Fire Rescue
   3-60  City:  De Soto
   3-61  -------------------------------------------------------------------
   3-62                                                  FOR   AGAINST  ON
   3-63  ___________________________________________________________________
   3-64  Name:  Rick Mumey                                x
   3-65  Representing:  Houston Prof. Fire Fighters
   3-66  City:  Houston
   3-67  -------------------------------------------------------------------
   3-68  Name:  Bob Willingham                            x
   3-69  Representing:  Hurst Fire Dept
   3-70  City:  Hurst
    4-1  -------------------------------------------------------------------
    4-2  Name:  Virginia Scott                                    x
    4-3  Representing:  TX EMS Advisory Council
    4-4  City:  Sugar Land
    4-5  -------------------------------------------------------------------
    4-6  Name:  Mary Lou Malone                                   x
    4-7  Representing:  Schertz Area Facility Emr Ser
    4-8  City:  Schertz
    4-9  -------------------------------------------------------------------
   4-10  Name:  Neal Kelley                                       x
   4-11  Representing:  Luling Emr Med Services
   4-12  City:  Luling
   4-13  -------------------------------------------------------------------
   4-14  Name:  David M. Stone                                    x
   4-15  Representing:  TX Asso of Emer Med Tech
   4-16  City:  Leander
   4-17  -------------------------------------------------------------------
   4-18  Name:  Billy Sladek                                            x
   4-19  Representing:  TX Dept Health
   4-20  City:  Austin
   4-21  -------------------------------------------------------------------
   4-22  Name:  Robert W. Finn                            x
   4-23  Representing:  City of Southlake
   4-24  City:  Southlake
   4-25  -------------------------------------------------------------------
   4-26  Name:  James Nile Barnes                         x
   4-27  Representing:  Self
   4-28  City:  Austin
   4-29  -------------------------------------------------------------------
   4-30  Name:  Bill Moore, MD                            x
   4-31  Representing:  East TX EMS
   4-32  City:  Tyler
   4-33  -------------------------------------------------------------------
   4-34  Name:  Ken Bailey                                x
   4-35  Representing:  TX ST Asso Fire Fighters
   4-36  City:  Austin
   4-37  -------------------------------------------------------------------
   4-38  Name:  Joe Huffman                               x
   4-39  Representing:  TX Amb Asso
   4-40  City:  Garland
   4-41  -------------------------------------------------------------------
   4-42  Name:  Michael Foegelle                          x
   4-43  Representing:  Belton Fire Dept
   4-44  City:  Belton
   4-45  -------------------------------------------------------------------