1-1 By: Sibley, Zaffirini S.B. No. 1280
1-2 (In the Senate - Filed March 10, 1995; March 20, 1995, read
1-3 first time and referred to Committee on Education; March 29, 1995,
1-4 reported adversely, with favorable Committee Substitute by the
1-5 following vote: Yeas 11, Nays 0; March 29, 1995, sent to printer.)
1-6 COMMITTEE SUBSTITUTE FOR S.B. No. 1280 By: Sibley
1-7 A BILL TO BE ENTITLED
1-8 AN ACT
1-9 relating to the creation of statewide preceptorship programs in
1-10 general internal medicine and general pediatrics and the expansion
1-11 of primary care residency positions.
1-12 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13 SECTION 1. Chapter 58, Education Code, is amended by adding
1-14 Sections 58.006, 58.007, and 58.008 to read as follows:
1-15 Sec. 58.006. STATEWIDE PRECEPTORSHIP PROGRAMS. (a) The
1-16 Texas Higher Education Coordinating Board may contract with one or
1-17 more organizations to operate the statewide preceptorship program
1-18 in general internal medicine and the statewide preceptorship
1-19 program in general pediatrics for medical students enrolled in
1-20 Texas medical schools.
1-21 (b) An organization eligible to receive funds under this
1-22 subsection must:
1-23 (1) qualify for exemption from federal income tax
1-24 under Section 501, Internal Revenue Code of 1986 (26 U.S.C. Section
1-25 501); or
1-26 (2) be operated by a state accredited medical school
1-27 as defined in Section 61.501(1).
1-28 (c) Students eligible to participate in the preceptorship
1-29 programs under this section must indicate an interest in a primary
1-30 care career.
1-31 Sec. 58.007. ADVISORY COMMITTEE. (a) Nothing in this
1-32 section or Section 58.006 or 58.008 shall diminish or abolish the
1-33 activities of the Family Practice Residency Advisory Committee
1-34 established under Section 61.505. It is not the intent of this
1-35 section to combine or assimilate advisory programs but only to add
1-36 to and enhance the training of primary care physicians in Texas.
1-37 (b)(1) The Primary Care Residency Advisory Committee is
1-38 created and shall consist of 12 members as follows:
1-39 (A) seven members shall be licensed physicians,
1-40 one appointed by each of the following:
1-41 (i) the Texas Medical Association;
1-42 (ii) the Texas Osteopathic Medical
1-43 Association;
1-44 (iii) the Texas Academy of Family
1-45 Physicians;
1-46 (iv) the Texas Society of the American
1-47 College of Osteopathic Family Physicians;
1-48 (v) the Texas Society of Internal
1-49 Medicine;
1-50 (vi) the Texas Pediatric Society; and
1-51 (vii) the Texas Association of
1-52 Obstetricians and Gynecologists;
1-53 (B) one member shall be appointed by the Center
1-54 for Rural Health Initiatives;
1-55 (C) one member shall be appointed by the Bureau
1-56 of Community Oriented Primary Care at the Texas Department of
1-57 Health; and
1-58 (D) three members shall be members of the
1-59 public, one appointed by each of the following:
1-60 (i) the governor;
1-61 (ii) the lieutenant governor; and
1-62 (iii) the speaker of the house of
1-63 representatives.
1-64 (2) No individual who has a direct financial interest
1-65 in primary care residency training programs shall be appointed to
1-66 serve as a member of the advisory committee.
1-67 (c) The terms of the office of each member shall be for
1-68 three years, except for the initial term, which shall be designated
2-1 in a manner approved by the Texas Higher Education Coordinating
2-2 Board in such a way that one-third of the members shall serve for
2-3 one year, one-third for two years, and one-third for three years,
2-4 and thereafter each member shall serve for a term of three years.
2-5 Each member shall serve until the member's replacement has been
2-6 appointed to the committee.
2-7 (d) The members of the committee shall not be compensated
2-8 for their service.
2-9 (e) The committee shall meet at least annually and so often
2-10 as requested by the Texas Higher Education Coordinating Board or
2-11 called into meeting by the committee chair.
2-12 (f) The committee chair shall be elected by the members of
2-13 the committee for a term of one year.
2-14 (g) The committee shall review for the Texas Higher
2-15 Education Coordinating Board applications for approval and funding
2-16 of primary care residency training program expansion as described
2-17 in Section 58.008 and related support programs, make
2-18 recommendations to the board relating to the standards and criteria
2-19 for approval of residency training and related support programs,
2-20 and perform such other duties as may be directed by the board.
2-21 Sec. 58.008. PRIMARY CARE RESIDENCY PROGRAM EXPANSION.
2-22 (a) Only residency positions in family practice, general internal
2-23 medicine, general pediatrics, and obstetrics and gynecology shall
2-24 be eligible for these funds.
2-25 (b) The committee shall recommend to the Texas Higher
2-26 Education Coordinating Board an allocation of new primary care
2-27 residency positions that are to receive state support. The
2-28 committee shall take into consideration in recommending an
2-29 allocation among the four primary care specialties designated for
2-30 expansion the following factors:
2-31 (1) the current primary care specialties mix of Texas
2-32 physicians in direct practice;
2-33 (2) projections for the primary care specialties mix
2-34 of Texas physicians in direct practice;
2-35 (3) the current state-supported primary care
2-36 positions;
2-37 (4) geographic shortages for primary care physicians;
2-38 and
2-39 (5) the demographics of the Texas population.
2-40 (c) Once funds are awarded to support a resident position of
2-41 a particular residency program, the board shall continue to award
2-42 funds to support that residency position for all three or four
2-43 postgraduate years of the residency training curriculum until the
2-44 resident physician appointed to that position has completed or left
2-45 the program. The position would then be eligible for reallocation
2-46 by the Primary Care Residency Advisory Committee.
2-47 SECTION 2. The importance of this legislation and the
2-48 crowded condition of the calendars in both houses create an
2-49 emergency and an imperative public necessity that the
2-50 constitutional rule requiring bills to be read on three several
2-51 days in each house be suspended, and this rule is hereby suspended,
2-52 and that this Act take effect and be in force from and after its
2-53 passage, and it is so enacted.
2-54 * * * * *