1-1  By:  McDonald, Coleman, et al.                        H.B. No. 1409
    1-2       (Senate Sponsor - Turner)
    1-3        (In the Senate - Received from the House March 29, 1995;
    1-4  March 29, 1995, read first time and referred to Committee on
    1-5  Criminal Justice; April 5, 1995, reported adversely, with favorable
    1-6  Committee Substitute by the following vote:  Yeas 4, Nays 0;
    1-7  April 5, 1995, sent to printer.)
    1-8  COMMITTEE SUBSTITUTE FOR H.B. No. 1409                  By:  Turner
    1-9                         A BILL TO BE ENTITLED
   1-10                                AN ACT
   1-11  relating to children and family issues, including health and human
   1-12  services issues.
   1-13        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-14        SECTION 1.  Subtitle B, Title 3, Human Resources Code, is
   1-15  amended by adding Chapter 72 to read as follows:
   1-16       CHAPTER 72.  LOCAL AND STATE COORDINATION OF DELIVERY OF
   1-17                   SERVICES TO CHILDREN AND FAMILIES
   1-18                   SUBCHAPTER A.  GENERAL PROVISIONS
   1-19        Sec. 72.001.  PURPOSE.  The purpose of this chapter is to
   1-20  improve child and family services by encouraging local solutions,
   1-21  building partnerships between the state and local communities, and
   1-22  eliminating regulatory barriers which prevent public, private, and
   1-23  non-profit programs from working together.  By improving child and
   1-24  family services, the Legislature hopes to increase the likelihood
   1-25  that Texas children will:
   1-26              (1)  live in stable, nurturing, and supportive
   1-27  families;
   1-28              (2)  be mentally and physically healthy;
   1-29              (3)  enter school able to learn to their fullest
   1-30  potential and be able to succeed in school; and
   1-31              (4)  develop into productive, law-abiding citizens.
   1-32        Sec. 72.002.  DEFINITIONS.  In this chapter:
   1-33              (1)  "Board" means the Legislative Health and Human
   1-34  Services Board created under Chapter 330, Government Code.
   1-35              (2)  "Child" means a person younger than 19 years of
   1-36  age.
   1-37              (3)  "Commission" means the Health and Human Services
   1-38  Commission.
   1-39              (4)  "Commissioner" means the commissioner of health
   1-40  and human services.
   1-41            (Sections 72.003-72.020 reserved for expansion
   1-42           SUBCHAPTER B.  STATE PARTICIPATION IN PARTNERSHIP
   1-43                 FOR SERVICES TO CHILDREN AND FAMILIES
   1-44        Sec. 72.021.  DESIGNATED STATE AGENCY.  (a)  The Health and
   1-45  Human Services Commission is the state agency responsible for
   1-46  providing leadership to ensure that the purposes of this chapter
   1-47  are realized.
   1-48        (b)  The commission may require health and human service,
   1-49  education, and juvenile justice agencies listed under Section
   1-50  72.022(a) to provide staff and other administrative support as
   1-51  necessary to assist the commission in discharging its
   1-52  responsibilities under this section.
   1-53        Sec. 72.022.  RESPONSIBILITIES OF STATE AGENCIES.  (a)  In
   1-54  conjunction with the commissioner of health and human services, the
   1-55  executive director, commissioner, or other executive head, as
   1-56  appropriate, of the following state agencies shall ensure that the
   1-57  agency cooperates with the commissioner to accomplish the
   1-58  objectives of this chapter except when those objectives conflict
   1-59  with rules adopted by the elected or appointed board of the agency:
   1-60              (1)  Central Education Agency;
   1-61              (2)  Health and Human Services Commission;
   1-62              (3)  Department of Protective and Regulatory Services;
   1-63              (4)  Interagency Council on Early Childhood
   1-64  Intervention Services;
   1-65              (5)  Texas Commission on Alcohol and Drug Abuse;
   1-66              (6)  Texas Commission for the Blind;
   1-67              (7)  Texas Department of Health;
   1-68              (8)  Texas Department of Human Services;
    2-1              (9)  Texas Department of Mental Health and Mental
    2-2  Retardation;
    2-3              (10)  Texas Juvenile Probation Commission;
    2-4              (11)  Texas Youth Commission;
    2-5              (12)  Texas Employment Commission; and
    2-6              (13)  Children's Trust Fund of Texas Council.
    2-7        (b)  The executive director, commissioner, or other executive
    2-8  head of an agency shall designate an employee of the agency to
    2-9  represent the agency, under the direction of the executive head,
   2-10  and assist the agency in carrying out the objectives of Subsection
   2-11  (f).
   2-12        (c)  The commissioner of health and human services and the
   2-13  commissioner of education shall regularly meet with the agency
   2-14  representatives to determine the progress made toward accomplishing
   2-15  the goals of Subsection (f).
   2-16        (d)  The representatives of the agencies shall meet at the
   2-17  call of the commissioner of health and human services.
   2-18        (e)  Each agency is responsible for the expenses of that
   2-19  agency's representative.  An agency representative does not receive
   2-20  any additional compensation for representing the agency or for
   2-21  carrying out other duties under this chapter.
   2-22        (f)  The agencies shall collaborate under the direction of
   2-23  the commissioner to accomplish the following objectives:
   2-24              (1)  establishing a system for encouraging and
   2-25  supporting the development of local child and family commissions
   2-26  throughout the state by, among other means, eliminating
   2-27  administrative or regulatory barriers and providing sufficient
   2-28  technical assistance to those commissions;
   2-29              (2)  developing a blueprint for children that
   2-30  establishes goals for children, including short-range and
   2-31  long-range strategies addressing education, health and human
   2-32  services, and juvenile justice issues, and that accomplishes the
   2-33  purposes prescribed by Section 72.001;
   2-34              (3)  defining common, uniform, cross-agency outcome
   2-35  measures and a system of evaluation to measure the effects of state
   2-36  agency programs for children and families;
   2-37              (4)  initiating strategies for refinancing children's
   2-38  services administered by state agencies to ensure the most
   2-39  effective use of federal, state, and local funds;
   2-40              (5)  submitting a quarterly report to the board on
   2-41  progress in meeting the objectives of this subsection; and
   2-42              (6)  promptly responding, in consultation with the
   2-43  board, to other relevant issues which may arise.
   2-44        (g)  The executive director, commissioner, or other executive
   2-45  head of each agency shall ensure that the strategic plan, budget,
   2-46  and performance measures of the agency reflect the joint
   2-47  responsibilities listed in Subsection (f).
   2-48        (h)  The commissioner may solicit the participation of other
   2-49  agencies involved in child and family issues, including
   2-50  institutions of higher education, to accomplish the purposes of
   2-51  this section.
   2-52            (Sections 72.023-72.030 reserved for expansion
   2-53           SUBCHAPTER C.  LOCAL CHILD AND FAMILY COMMISSIONS
   2-54        Sec. 72.031.  DEFINITION.  In this subchapter, "local
   2-55  commission" means a local child and family commission certified by
   2-56  the commission under this subchapter.
   2-57        Sec. 72.032.  CERTIFICATION OF LOCAL COMMISSIONS.  (a)  The
   2-58  commission may annually solicit applications for new local
   2-59  commissions from counties which have not established a local
   2-60  commission.  A commissioners court of a county, governing body of a
   2-61  municipality, council of governments, regional planning body or
   2-62  similar entity, charitable organization that solicits contributions
   2-63  for health and human services, or an existing child and family
   2-64  commission that meets the requirements of Section 72.033 may submit
   2-65  a proposal for a local commission.  The commission may accept only
   2-66  one proposal from each county.
   2-67        (b)  A proposal submitted under this section must:
   2-68              (1)  demonstrate that the proposal is a collaborative
   2-69  initiative among entities contributing significant funding for
   2-70  child and family services within the county;
    3-1              (2)  demonstrate that the applicant has consulted with
    3-2  local governments and other public entities, nonprofit
    3-3  organizations, voluntary associations, representatives of
    3-4  low-income persons, and other groups involved in providing health
    3-5  and human services or funding for those services about the needs of
    3-6  the community and how to meet those needs; and
    3-7              (3)  identify the proposed membership of the local
    3-8  commission.
    3-9        (c)  The commission shall adopt rules for providing technical
   3-10  support to the local commissions, assisting them in eliminating
   3-11  administrative and regulatory barriers, and certifying and
   3-12  monitoring the operation of local commissions.
   3-13        (d)  A local commission may serve one or more counties, but a
   3-14  county may not be served by more than one local commission.
   3-15        (e)  Subject to available funding, the Health and Human
   3-16  Services Commission shall certify a local commission after
   3-17  receiving a proposal which conforms to the rules adopted by the
   3-18  commission.  A local commission is established upon certification
   3-19  by the Health and Human Services Commission.
   3-20        Sec. 72.033.  MEMBERSHIP OF LOCAL COMMISSIONS.  (a)  A local
   3-21  commission must include:
   3-22              (1)  a member of the governing body of the most
   3-23  populous municipality located in the county and a member of the
   3-24  governing body of one other municipality located in the county;
   3-25              (2)  a member of the commissioners court of the county;
   3-26              (3)  a superintendent or elected school board member
   3-27  from any participating public school district in the county;
   3-28              (4)  a member of the juvenile board which serves the
   3-29  county or chief juvenile probation officer within the county;
   3-30              (5)  not fewer than two parents who are current or
   3-31  former recipients of child and family services;
   3-32              (6)  representatives from business, religious, civic,
   3-33  and community-based organizations;
   3-34              (7)  a representative of a charitable organization that
   3-35  solicits contributions for health and human services;
   3-36              (8)  the executive director of the local mental health
   3-37  authority or the executive director's designee;
   3-38              (9)  the regional administrator of the Texas Department
   3-39  of Health or the regional administrator's designee;
   3-40              (10)  a child protective services administrator or
   3-41  designee;
   3-42              (11)  a representative of the Head Start grantee if
   3-43  there is such a grantee in the county;
   3-44              (12)  the local coordinator for the Department of Human
   3-45  Services Child Care Management Service or designee; and
   3-46              (13)  a member of any other entity that submits the
   3-47  proposal for a local commission under Section 72.032(a).
   3-48        (b)  A local commission may appoint such advisory committees
   3-49  as necessary to satisfy requirements for federal funds, to qualify
   3-50  representation in the event a local commission is established by
   3-51  two or more counties, or to serve specific neighborhoods or
   3-52  communities.
   3-53        (c)  An applicant for certification under Section 72.032
   3-54  shall attempt to ensure participation on the local commission by
   3-55  women and minorities, including African Americans, Hispanic
   3-56  Americans, native Americans, and Asian Americans.
   3-57        Sec. 72.034.  ADMINISTRATION OF LOCAL COMMISSIONS.  (a)  The
   3-58  members of a local commission serve staggered two-year terms with
   3-59  as near as possible to half of the members' terms expiring
   3-60  February 1 of each year.  The members shall draw lots at the first
   3-61  commission meeting to determine the length of each member's initial
   3-62  term and the year when each member's term expires.  The members
   3-63  shall choose new members by vote before the outgoing members leave
   3-64  office.  At all times the membership of a local commission shall be
   3-65  as designated in Section 72.033.
   3-66        (b)  Members of a local commission serve without
   3-67  compensation, but a member may be reimbursed for actual expenses
   3-68  incurred in the performance of the member's official duties.
   3-69  Expenses under this subsection must be reported in the local
   3-70  commission's records and must be approved by the commission.
    4-1        Sec. 72.035.  POWERS, DUTIES, AND RESPONSIBILITIES OF LOCAL
    4-2  COMMISSIONS.  (a)  A local commission shall:
    4-3              (1)  facilitate and reward collaboration between child
    4-4  and family service providers;
    4-5              (2)  assess the need for child and family services and
    4-6  available resources in the community served by the local
    4-7  commission;
    4-8              (3)  monitor the effectiveness and efficiency with
    4-9  which public and private organizations that received public money
   4-10  deliver child and family services;
   4-11              (4)  develop and submit to the commission local
   4-12  strategic plans for services for children and families that are
   4-13  related to the purposes of this chapter listed under Section
   4-14  72.001, including local budgetary priorities and proposals for
   4-15  alternative delivery systems;
   4-16              (5)  mobilize public, business, and voluntary agency
   4-17  partnerships and promote the use of individual volunteers;
   4-18              (6)  foster the development of new services to meet
   4-19  family needs more effectively, including services aimed at
   4-20  preventing child abuse, poverty, malnutrition, failure in school,
   4-21  juvenile delinquency, and other social ills;
   4-22              (7)  ensure fiscal efficiency by maximizing the use of
   4-23  local, state, and federal funds, as appropriate; and
   4-24              (8)  measure program effectiveness and ensure fiscal
   4-25  accountability in the delivery of child and family services.
   4-26        (b)  A local commission has all of the powers necessary for
   4-27  the effective operation of the local commission, including the
   4-28  power to:
   4-29              (1)  contract for assistance in administration or
   4-30  management of the commission and for services to administer its
   4-31  funds;
   4-32              (2)  pay all operating expenses by warrants drawn on
   4-33  funds available for that purpose; and
   4-34              (3)  accept gifts and grants from any source to finance
   4-35  its programs and facilities.
   4-36        Sec. 72.036.  LOCAL GRANTS; NOTICE.  (a)  A municipality,
   4-37  county, or political subdivision may provide a grant to a local
   4-38  commission to achieve the purposes of this chapter.
   4-39        (b)  A local commission shall allow adequate notice and
   4-40  opportunity for public comment, including comments from the
   4-41  entities listed in Section 72.032(b)(1), before contracting for
   4-42  services.
   4-43        Sec. 72.037.  ANNUAL AUDIT.  (a)  A local commission shall
   4-44  contract with an independent auditor for an annual financial audit.
   4-45        (b)  The state auditor shall, with the advice of the
   4-46  commission, develop standardized forms and schedules for a local
   4-47  commission to use in conducting an annual financial audit.  A local
   4-48  commission shall use the forms and schedules developed by the state
   4-49  auditor for its annual financial audit.
   4-50        Sec. 72.038.  LIMITATION OF LIABILITY.  (a)  A local
   4-51  commission is a governmental unit for purposes of Chapter 101,
   4-52  Civil Practice and Remedies Code.
   4-53        (b)  A member of a local commission is not liable for civil
   4-54  damages for any act performed in good faith in the execution of
   4-55  duties as a commission member or for an action taken by the
   4-56  commission.
   4-57            (Sections 72.039-72.050 reserved for expansion
   4-58       SUBCHAPTER D.  STATE GRANTS AND STATE AGENCY COOPERATION
   4-59        Sec. 72.051.  FUNDS AVAILABILITY.  (a)  In conjunction with
   4-60  the agencies listed under Section 72.022(a) and with the consent of
   4-61  the Legislative Budget Board, the commission shall develop a budget
   4-62  mechanism to combine state and federal funds to provide grants to
   4-63  local child and family commissions established under Subchapter C.
   4-64        (b)  The Legislative Budget Board, at the request of the
   4-65  commission, may transfer appropriations from state child-serving
   4-66  agencies to the commission in accordance with Subsection (a)(1).
   4-67        (c)  The commission shall promulgate rules for the
   4-68  distribution of grant funds that may be appropriated by the
   4-69  legislature for local child and family commissions.  Funds
   4-70  appropriated for local commissions may be used for grants under
    5-1  this Section or for grants under Section 72.052.
    5-2        (d)  A grant to a local child and family commission made
    5-3  under this section must:
    5-4              (1)  be distributed locally for services that promote
    5-5  the social, emotional, or physical well-being of children and
    5-6  promote family support; and
    5-7              (2)  be matched by local resources, in cash or in kind,
    5-8  equal to at least one-quarter of the grant amount, except as
    5-9  provided by Subsection (e).
   5-10        (e)  The commission by rule shall provide for the
   5-11  distribution of available funds based on a county's child
   5-12  population and per capita income.
   5-13        (f)  The commission may modify the match amount required by
   5-14  Subsection (c) if the modification is necessary to accomplish the
   5-15  effective distribution of funds.  If the commission modifies the
   5-16  match formula, the modification shall apply to all applicants for
   5-17  funds under this section.
   5-18        (g)  The commission may retain not more than two percent of
   5-19  any funds appropriated for state grants under this section and may
   5-20  use those funds only for the administration of the grant program at
   5-21  the state level and for carrying out the duties prescribed by
   5-22  Section 72.022.
   5-23        (h)  The value of an in-kind match of local resources made
   5-24  under Subsection (c)(2) is equal to the fair market value of the
   5-25  resources received.
   5-26        Sec. 72.052.  COMMUNITY ASSISTANCE GRANTS.  (a)  The
   5-27  commission by rule may provide a procedure by which it may make a
   5-28  one-time assistance grant to a local community on its certification
   5-29  to provide an incentive to establish a local child and family
   5-30  commission and support its initial operation.
   5-31        (b)  If funds are available, the commission may provide an
   5-32  assistance grant to a local community on certification of a local
   5-33  child and family commission.  A grant under this subsection:
   5-34              (1)  must be in proportion to the child population of
   5-35  the county, not to exceed $50,000 in a large urban area; and
   5-36              (2)  must be matched by local resources, in cash or in
   5-37  kind, equal to at least one-half of the amount of the assistance
   5-38  grant.
   5-39        (c)  The value of an in-kind match of local resources made
   5-40  under Subsection (b)(2) is equal to the fair market value of the
   5-41  resources received.
   5-42        Sec. 72.053.  COOPERATION WITH STATE AGENCIES; PERSONNEL.
   5-43  (a)  A local child and family commission shall cooperate with the
   5-44  commission in setting performance standards and evaluating results
   5-45  for child and family programs for which the local commission and
   5-46  the commission are responsible.
   5-47        (b)  The commission may assist local child and family
   5-48  commissions in coordinating the efforts of state employees involved
   5-49  in child and family programs developed by local commissions.
   5-50            (Sections 72.054-72.070 reserved for expansion
   5-51                SUBCHAPTER E.  MISCELLANEOUS PROVISIONS
   5-52        Sec. 72.071.  COLLABORATION AGREEMENTS.  (a)  State and local
   5-53  agencies that serve children and families, including local child
   5-54  and family commissions established under Subchapter C, may enter
   5-55  into collaboration agreements to accomplish the purposes prescribed
   5-56  by Section 72.001.
   5-57        (b)  A collaboration agreement may involve education,
   5-58  vocational rehabilitation, health, mental health, employment and
   5-59  training, child welfare, social services, juvenile justice, and
   5-60  other services or programs designated by the commission.
   5-61        Sec. 72.072.  FUNDS.  All funds received by the commission
   5-62  under this chapter are subject to Subchapter F, Chapter 404,
   5-63  Government Code.
   5-64        SECTION 2.  Chapter 32, Health and Safety Code, is amended by
   5-65  adding Section 32.022 to read as follows:
   5-66        Sec. 32.022.  PRENATAL CARE PUBLIC AWARENESS PROGRAM.
   5-67  (a)  The department shall establish a program to promote public
   5-68  awareness of the importance of prenatal care.
   5-69        (b)  The public awareness program shall:
   5-70              (1)  focus on the benefits of early and ongoing
    6-1  prenatal care, including the reduction of low birth weights and
    6-2  infant mortality; and
    6-3              (2)  target low-income areas of the state.
    6-4        (c)  The public awareness program shall not provide
    6-5  counseling or referral regarding abortion or abortion services.
    6-6        (d)  To conduct the public awareness program required by this
    6-7  section, the department shall utilize, among other resources, the
    6-8  network of local coalitions developed by the department to promote
    6-9  its immunization public awareness program.
   6-10        SECTION 3.  (a)  The commissioner of health and human
   6-11  services, in collaboration with the state agencies listed in this
   6-12  section and the Regional Administration for Children and Families
   6-13  Head Start Bureau shall coordinate the program services,
   6-14  eligibility requirements, funding, enrollment periods, fees, and
   6-15  administrative functions of the following programs by no later than
   6-16  December 1, 1996:
   6-17              (1)  the child care programs of the Texas Department of
   6-18  Human Services;
   6-19              (2)  the prekindergarten programs of the Central
   6-20  Education Agency; and
   6-21              (3)  the federal Head Start programs.
   6-22        (b)  The commissioner of health and human services shall
   6-23  report the results of the initiative prescribed by this Act to
   6-24  coordinate the delivery of services to children and families to the
   6-25  legislature on or before December 1, 1996.
   6-26        SECTION 4.  (a)  The Texas Department of Health shall develop
   6-27  a plan to increase accessibility of dental services for children
   6-28  that targets children who are eligible for but are not receiving
   6-29  medical assistance.  In developing the plan, the department shall:
   6-30              (1)  explore the extent of services needed to reach all
   6-31  eligible children;
   6-32              (2)  determine the most appropriate age to target
   6-33  children for preventive services;
   6-34              (3)  determine how to better use preventive care;
   6-35              (4)  examine the expansion of school-based services for
   6-36  early diagnostic screening;
   6-37              (5)  consider the need for dental equipment, including
   6-38  mobile units, portable equipment, and computer equipment;
   6-39              (6)  consider involving private practitioners by
   6-40  exploring the following possibilities:
   6-41                    (A)  increasing compensation for services;
   6-42                    (B)  forgiving school loans for participating
   6-43  dentists;
   6-44                    (C)  requiring 40 hours a year of mandatory
   6-45  services for children in the early and periodic screening,
   6-46  diagnosis, and treatment program or for other children eligible for
   6-47  state services; and
   6-48                    (D)  creating a formal structure to bring
   6-49  dentists into schools;
   6-50              (7)  investigate alternative methods to educate parents
   6-51  about the causes and prevention of baby bottle tooth decay; and
   6-52              (8)  consider requiring fluoridation of all major water
   6-53  supplies.
   6-54        (b)  Using existing departmental resources, the department
   6-55  shall prepare the plan required by this section and the projected
   6-56  budget for that plan not later than September 1, 1996.  The Texas
   6-57  Board of Health may appoint a special task force to help the
   6-58  department in preparing this plan.  The department shall present
   6-59  the plan and budget to the 75th Legislature.
   6-60        (c)  This section expires June 1, 1997.
   6-61        SECTION 5.  (a)  The Texas Department of Mental Health and
   6-62  Mental Retardation, Central Education Agency, and the Department of
   6-63  Protective and Regulatory Services shall jointly develop a plan for
   6-64  providing services to children with severe mental or emotional
   6-65  disorders who require residential treatment.  The plan must
   6-66  provide:
   6-67              (1)  that residential treatment and related services
   6-68  for children be provided regionally;
   6-69              (2)  for a child who has a functional family to remain
   6-70  in parental custody while receiving treatment or related services;
    7-1              (3)  for coordination of state mental health facilities
    7-2  and community service providers;
    7-3              (4)  specific legislative recommendations for statutory
    7-4  authority to pool funds used by various state agencies to provide
    7-5  residential treatment and related services to children;
    7-6              (5)  to the extent practicable, that funds available
    7-7  under Title IV-E, federal Social Security Act (42 U.S.C. Section
    7-8  670 et seq.), pay for services for those children who are
    7-9  Medicaid-eligible and in need of residential treatment; and
   7-10              (6)  that third-party payor financial resources are
   7-11  exhausted before state money is used.
   7-12        (b)  In developing the plan, the Texas Department of Mental
   7-13  Health and Mental Retardation shall consider whether to include in
   7-14  the plan provisions:
   7-15              (1)  to establish and employ indicators to identify
   7-16  children with mental or emotional disorders who would be better
   7-17  served outside of the home;
   7-18              (2)  to use community mental health centers or
   7-19  community resource coordinating groups to review children's cases
   7-20  individually;
   7-21              (3)  to create therapeutic group homes in communities;
   7-22  and
   7-23              (4)  for payment of services on a sliding scale.
   7-24        (c)  The Texas Department of Mental Health and Mental
   7-25  Retardation shall complete the plan, together with an estimated
   7-26  budget and recommendations for statutory changes necessary or
   7-27  convenient to implement the plan, not later than January 15, 1997.
   7-28  On completion, the department shall submit the plan to the governor
   7-29  and the legislature.
   7-30        (d)  This section expires June 1, 1997.
   7-31        SECTION 6.  (a)  The comptroller shall establish a pilot
   7-32  project to determine the effectiveness of using investment
   7-33  budgeting to measure the cost-effectiveness of certain children's
   7-34  prevention services.
   7-35        (b)  As part of the investment budgeting process, the
   7-36  comptroller shall:
   7-37              (1)  establish clear visions and goals and measurable
   7-38  outcomes that clarify those visions and goals;
   7-39              (2)  establish and estimate the value of the outcomes
   7-40  the comptroller wants to achieve;
   7-41              (3)  estimate the unit cost of achieving those
   7-42  outcomes; and
   7-43              (4)  compute the anticipated return on investing in
   7-44  programs to achieve those outcomes.
   7-45        (c)  The comptroller shall consider including the children's
   7-46  immunization programs in determining which children's prevention
   7-47  services will be examined in the pilot project.
   7-48        (d)  Not later than January 15, 1997, the comptroller shall
   7-49  submit to the governor and the 75th Legislature a report concerning
   7-50  the effectiveness of the pilot project.
   7-51        (e)  This section expires September 1, 1997.
   7-52        SECTION 7.  The Texas Department of Health shall establish
   7-53  the prenatal care public awareness program required by Section
   7-54  32.022, Health and Safety Code, as added by this Act, not later
   7-55  than January 1, 1996.
   7-56        SECTION 8.  This Act takes effect September 1, 1995.
   7-57        SECTION 9.  The importance of this legislation and the
   7-58  crowded condition of the calendars in both houses create an
   7-59  emergency and an imperative public necessity that the
   7-60  constitutional rule requiring bills to be read on three several
   7-61  days in each house be suspended, and this rule is hereby suspended.
   7-62                               * * * * *