1-1 By: Van De Putte (Senate Sponsor - Zaffirini) H.B. No. 2385 1-2 (In the Senate - Received from the House May 17, 1993; 1-3 May 19, 1993, read first time and referred to Committee on Health 1-4 and Human Services; May 20, 1993, reported favorably by the 1-5 following vote: Yeas 6, Nays 1; May 20, 1993, sent to printer.) 1-6 COMMITTEE VOTE 1-7 Yea Nay PNV Absent 1-8 Zaffirini x 1-9 Ellis x 1-10 Madla x 1-11 Moncrief x 1-12 Nelson x 1-13 Patterson x 1-14 Shelley x 1-15 Truan x 1-16 Wentworth x 1-17 A BILL TO BE ENTITLED 1-18 AN ACT 1-19 relating to pediatric emergency medical services. 1-20 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-21 SECTION 1. Chapter 773, Health and Safety Code, is amended 1-22 by adding Subchapter G to read as follows: 1-23 SUBCHAPTER G. PEDIATRIC EMERGENCY MEDICAL SERVICES 1-24 Sec. 773.171. EMERGENCY MEDICAL SERVICES FOR CHILDREN 1-25 PROGRAM. (a) The emergency medical services for children program 1-26 is in the bureau of emergency management. 1-27 (b) The department shall provide coordination and support 1-28 for a statewide pediatric emergency services system. 1-29 (c) The department may solicit, receive, and spend funds it 1-30 receives from the federal government and public or private sources 1-31 to carry out the purposes of this subchapter. 1-32 Sec. 773.172. PEDIATRIC EMERGENCY MEDICAL SERVICES ADVISORY 1-33 COMMITTEE. (a) The Pediatric Emergency Medical Services Advisory 1-34 Committee is composed of seven members appointed by the 1-35 commissioner or the commissioner's designee. 1-36 (b) The members must include individuals who are clinical 1-37 management, clinical education, and administration experts in the 1-38 areas of prehospital care, emergency room care, acute care, 1-39 children's hospital care, and rehabilitation of pediatric patients. 1-40 1-41 (c) Members are appointed for staggered six-year terms, with 1-42 the terms of a portion of the members expiring August 31 of each 1-43 odd-numbered year. If a vacancy occurs on the committee, the 1-44 commissioner or the commissioner's designee shall appoint a person 1-45 to serve for the remainder of the unexpired term. 1-46 (d) The committee may adopt rules for the conduct of its 1-47 activities and may elect a presiding officer from among its 1-48 members. The committee shall meet in Austin at least quarterly. 1-49 (e) The committee shall advise the department on the 1-50 emergency medical needs of pediatric patients and shall recommend 1-51 for the board's consideration rules providing minimum standards and 1-52 objectives to implement this subchapter. Committee members serve 1-53 as pediatric experts to advise the board and to serve as liaison 1-54 members for other committees associated with the bureau, including 1-55 the Emergency Medical Services Advisory Council, the trauma 1-56 technical advisory committee, and the coordinating committee on 1-57 poison control. 1-58 Sec. 773.173. DUTIES OF BOARD; RULES. (a) On the 1-59 recommendation of the advisory committee, the board shall adopt 1-60 minimum standards and objectives to implement a pediatric emergency 1-61 services system, including rules that: 1-62 (1) provide guidelines for categorization of a 1-63 facility's pediatric capability; 1-64 (2) provide for triage, transfer, and transportation 1-65 policies for pediatric care; 1-66 (3) establish guidelines for: 1-67 (A) prehospital care management for triage and 1-68 transportation of a pediatric patient; 2-1 (B) prehospital and hospital equipment that is 2-2 necessary and appropriate for the care of a pediatric patient; 2-3 (C) necessary pediatric emergency equipment and 2-4 training in long-term care facilities; and 2-5 (D) an interhospital transfer system for a 2-6 critically ill or injured pediatric patient; and 2-7 (4) provide for data collection and analysis. 2-8 (b) The board and the advisory committee shall consider 2-9 guidelines endorsed by the American Academy of Pediatrics and the 2-10 American College of Surgeons in recommending and adopting rules 2-11 under this section. 2-12 (c) The bureau may grant an exception to a rule adopted 2-13 under this section if it finds that compliance with the rule would 2-14 not be in the best interests of persons served in the affected 2-15 local pediatric emergency medical services system. 2-16 (d) This subchapter does not prohibit a health care facility 2-17 from providing services that it is authorized to provide under a 2-18 license issued to the facility by the department. 2-19 SECTION 2. Two initial members appointed to the Pediatric 2-20 Emergency Medical Services Advisory Committee serve for terms 2-21 expiring August 31, 1995, two initial members serve for terms 2-22 expiring August 31, 1997, and three initial members serve for terms 2-23 expiring August 31, 1999. The seven initial members shall draw 2-24 lots to determine the lengths of their terms. 2-25 SECTION 3. The importance of this legislation and the 2-26 crowded condition of the calendars in both houses create an 2-27 emergency and an imperative public necessity that the 2-28 constitutional rule requiring bills to be read on three several 2-29 days in each house be suspended, and this rule is hereby suspended, 2-30 and that this Act take effect and be in force from and after its 2-31 passage, and it is so enacted. 2-32 * * * * * 2-33 Austin, 2-34 Texas 2-35 May 20, 1993 2-36 Hon. Bob Bullock 2-37 President of the Senate 2-38 Sir: 2-39 We, your Committee on Health and Human Services to which was 2-40 referred H.B. No. 2385, have had the same under consideration, and 2-41 I am instructed to report it back to the Senate with the 2-42 recommendation that it do pass and be printed. 2-43 Moncrief, 2-44 Acting Chair 2-45 * * * * * 2-46 WITNESSES 2-47 FOR AGAINST ON 2-48 ___________________________________________________________________ 2-49 Name: Rep. Leticia Van de Putte x 2-50 Representing: Texas Representative 2-51 City: Austin 2-52 ------------------------------------------------------------------- 2-53 Name: Juan Bonilla, MD x 2-54 Representing: Self 2-55 City: San Antonio 2-56 ------------------------------------------------------------------- 2-57 Name: Joan Shook, MD x 2-58 Representing: Self 2-59 City: Houston 2-60 ------------------------------------------------------------------- 2-61 FOR AGAINST ON 2-62 ___________________________________________________________________ 2-63 Name: Sally Jo Zuspan x 2-64 Representing: Pediatric Nurses 2-65 City: San Antonio 2-66 ------------------------------------------------------------------- 2-67 Name: Nancy E. McCabe x 2-68 Representing: Self 2-69 City: Austin 2-70 ------------------------------------------------------------------- 3-1 Name: Janet Monteros x 3-2 Representing: Attorney General's Office 3-3 City: Austin 3-4 ------------------------------------------------------------------- 3-5 Name: Curtis Adrian x 3-6 Representing: Texas Bd License Nursing Home 3-7 City: Austin 3-8 -------------------------------------------------------------------