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 -------------------------------------------------------------------