74R5858 E
          By Henderson                                           S.B. No. 192
          Substitute the following for S.B. No. 192:
          By Berlanga                                        C.S.S.B. No. 192
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the administration and responsibilities of The
    1-3  University of Texas M. D. Anderson Cancer Center.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Section 73.106, Education Code, is amended to
    1-6  read as follows:
    1-7        Sec. 73.106.  Patients.  This <Except to the extent of any
    1-8  conflict with this> subchapter governs<, the provisions of Chapter
    1-9  152, Acts of the 45th Legislature, Regular Session, 1937, as
   1-10  amended (Article 3196a, Vernon's Texas Civil Statutes), govern> the
   1-11  admission of patients to the institution and its substations, the
   1-12  support of patients, and other matters relating to patients.
   1-13        SECTION 2.  Subsection (c), Section 73.108, Education Code,
   1-14  is amended to read as follows:
   1-15        (c)  The <Each> application may <shall> be accompanied by a
   1-16  written request for the patient's admission by his attending
   1-17  physician which includes:
   1-18              (1)  a statement that he has adequately examined the
   1-19  patient and that the patient has, or is suspected of having, a
   1-20  neoplasm or allied disease;
   1-21              (2)  a statement indicating the duration of the
   1-22  disease, if known, and indicating any accompanying bodily disorder
   1-23  or disorders the patient may have at the time of the application;
   1-24  and
    2-1              (3)  any other information that may be required by the
    2-2  president.
    2-3        SECTION 3.  Subchapter C, Chapter 73, Education Code, is
    2-4  amended by adding Sections 73.112, 73.113, 73.114, and 73.115 to
    2-5  read as follows:
    2-6        Sec. 73.112.  TREATMENT OF INDIGENT PATIENTS.  (a)  The
    2-7  institution may enter into a contract with a county, public
    2-8  hospital, or hospital district to provide treatment to residents of
    2-9  the county or service area who are eligible for health care
   2-10  assistance under Chapter 61, Health and Safety Code (Indigent
   2-11  Health Care and Treatment Act).
   2-12        (b)  The liability of a county, public hospital, or hospital
   2-13  district to the institution for the treatment of residents of the
   2-14  county or service area by the institution shall not exceed the
   2-15  responsibility of a county as provided for in Chapter 61, Health
   2-16  and Safety Code, unless agreed to by the county, public hospital,
   2-17  or hospital district in a contract entered into pursuant to this
   2-18  section.
   2-19        (c)  If a contract is entered into pursuant to this section,
   2-20  the liability of a county, public hospital, or hospital district
   2-21  under the contract shall take into consideration the actual costs
   2-22  of the institution in providing health care services pursuant to
   2-23  the contract, but in no event shall the liability exceed such
   2-24  costs.
   2-25        (d)  If a contract is not entered into pursuant to this
   2-26  section, the institution shall receive the approval of a county,
   2-27  public hospital, or hospital district before providing nonemergency
    3-1  health care services to an eligible resident of the county or
    3-2  service area.  If such approval is not received, the county, public
    3-3  hospital, or hospital district is not liable to the institution for
    3-4  any nonemergency care provided to such persons.  If such approval
    3-5  is received, the county, public hospital, or hospital district is
    3-6  liable to the institution as provided in Subsection (b) for the
    3-7  services provided by the institution to such persons.
    3-8        (e)  As used in this section, "eligible resident," "hospital
    3-9  district," "public hospital," and "service area" have the meanings
   3-10  assigned by Chapter 61, Health and Safety Code.
   3-11        Sec. 73.113.  SUFFICIENCY OF INSTITUTIONAL FUNDS, FEES, AND
   3-12  PATIENT BASE.  The institution shall ensure that institutional
   3-13  funds and the institution's hospital and clinic fees and patient
   3-14  base are sufficient to fund and achieve the mission and strategic
   3-15  plan of the institution and protect the state's investment in the
   3-16  development of the institution.
   3-17        Sec. 73.114.  INCENTIVE RETIREMENT PLANS.  (a)  The
   3-18  institution may offer incentive retirement plans to employees of
   3-19  the institution who elect to retire under other state law.
   3-20        (b)  An incentive offered to an employee by the institution
   3-21  must be paid from institutional funds or hospital or clinic fees.
   3-22        (c)  An institutional plan providing for incentive retirement
   3-23  plans must be filed with the Legislative Budget Board not later
   3-24  than the 61st day before the date the plan is implemented.
   3-25        (d)  The institution may not rehire an employee receiving a
   3-26  retirement incentive under this section without the specific
   3-27  approval of the president.
    4-1        Sec. 73.115.  ACQUISITION OF GOODS AND SERVICES.  (a)  The
    4-2  institution may acquire goods or services by the method that
    4-3  provides the best value to the institution, including:
    4-4              (1)  competitive bidding;
    4-5              (2)  competitive sealed proposals;
    4-6              (3)  catalogue purchase;
    4-7              (4)  a group purchasing program; or
    4-8              (5)  an open market contract.
    4-9        (b)  In determining what is the best value to the
   4-10  institution, the institution shall consider:
   4-11              (1)  the purchase price;
   4-12              (2)  the reputation of the vendor and of the vendor's
   4-13  goods or services;
   4-14              (3)  the quality of the vendor's goods or services;
   4-15              (4)  the extent to which the goods or services meet the
   4-16  institution's needs;
   4-17              (5)  the vendor's past relationship with the
   4-18  institution;
   4-19              (6)  the impact on the ability of the institution to
   4-20  comply with laws and rules relating to historically underutilized
   4-21  businesses;
   4-22              (7)  the total long-term cost to the institution of
   4-23  acquiring the vendor's goods or services; and
   4-24              (8)  any other relevant factor that a private business
   4-25  entity would consider in selecting a vendor.
   4-26        (c)  The state auditor may audit purchases of goods or
   4-27  services by the institution.
    5-1        (d)  The institution may adopt rules and procedures for the
    5-2  acquisition of goods or services.
    5-3        (e)  To the extent of any conflict, this section prevails
    5-4  over any other law relating to the purchasing of goods and services
    5-5  except a law relating to contracting with historically
    5-6  underutilized businesses.
    5-7        (f)  Except as otherwise provided by this section, the State
    5-8  Purchasing and General Services Act (Article 601b, Vernon's Texas
    5-9  Civil Statutes) and Chapter 2254, Government Code, do not apply to
   5-10  purchases of goods and services made under this section.
   5-11        SECTION 4.  Subchapter B, Chapter 552, Health and Safety
   5-12  Code, is amended by adding Section 552.020 to read as follows:
   5-13        Sec. 552.020.  APPLICATION.  Except as provided by Subchapter
   5-14  C, Chapter 73, Education Code, this subchapter does not apply to
   5-15  The University of Texas M. D. Anderson Cancer Center.
   5-16        SECTION 5.  (a)  Except as provided by Subsection (b) of this
   5-17  section, this Act takes effect immediately.
   5-18        (b)  Sections 1 and 4 of this Act and Section 73.112,
   5-19  Education Code, as added by this Act, take effect September 1,
   5-20  1995.
   5-21        SECTION 6.  The importance of this legislation and the
   5-22  crowded condition of the calendars in both houses create an
   5-23  emergency and an imperative public necessity that the
   5-24  constitutional rule requiring bills to be read on three several
   5-25  days in each house be suspended, and this rule is hereby suspended,
   5-26  and that this Act take effect and be in force according to its
   5-27  terms, and it is so enacted.