SRC-CDH C.S.S.B. 1824 75(R)BILL ANALYSIS


Senate Research CenterC.S.S.B. 1824
By: Shapleigh
Health & Human Services
4-10-97
Committee Report (Substituted)


DIGEST 

Currently, the El Paso Hospital District, which operates El Paso's largest
acute care hospital, and the Texas Tech Health and Science Center, which
trains medical students and resident physicians on the hospital staff, are
requesting statutory language to formalize the coordinated public health
care delivery system which the two entities have agreed to in principle.
The two entities have developed an agreement to integrate their operations
and jointly contract with health and managed care providers, while
preserving each entity's identity and autonomy.  This legislation
authorizes the El Paso Hospital District and the Texas Tech Health Science
Center in El Paso to create a new integrated organization to improve
health care delivery to the citizens of El Paso by strengthening the
ability of both parties to carry out their respective missions and
encouraging participation by providers currently outside the two
institutions.   

PURPOSE

As proposed, C.S.S.B. 1824 provides for the formation of an integrated
health care system by a hospital district and a medical school.   

RULEMAKING AUTHORITY

This bill does not grant any additional rulemaking authority to a state
officer, institution, or agency. 

SECTION BY SECTION ANALYSIS

SECTION 1. Amends Chapter 281C, Health and Safety Code, by adding Section
281.0517, as follows: 

Sec. 281.0517.  INTEGRATED HEALTH CARE SYSTEM.  Defines "integrated health
care system," "provider," and "medical school."  Authorizes a hospital
district and a medical school to establish and operate an integrated
health care system.  Authorizes an integrated health care system created
under this section, to provide or arrange for comprehensive health care
services, to own, acquire, lease, or contract for all necessary assets;
enter into contracts with providers; provide or enter into a contract with
an individual or business entity; enter into a contract or other agreement
with a business or governmental entity; and enter into a fee-for-service,
capitated, or risk-sharing health care service arrangement.  Provides that
an integrated health care system is a unit of local government and subject
to certain statutory law.  Authorizes an integrated health care system
created under this section, notwithstanding Subsection (d)(1)(A), to hold
a closed meeting to deliberate certain issues.  Provides that information
relating to certain issues is confidential and not subject to disclosure,
notwithstanding Subsection (d)(1)(B).  Requires an integrated health care
system created under this section, subject to certain requirements and
limitations, to make reasonable efforts to include in its provider group
community providers other than the district hospital and the medical
school.    

SECTION 2. Effective date:  September 1, 1997.

SECTION 3. Emergency clause.  


 SUMMARY OF COMMITTEE CHANGES

Amends the relating clause to replace the term "public medical school"
with "medical school." 

SECTION 1.

Amends Section 281.0517, Health and Safety Code, to replace all references
to "public medical school" with "medical school."  Deletes the definition
for "public medical school" and adds the definition for "medical school."
Replaces all references to "an integrated health care system" with "an
integrated health care system created under this section."  Requires an
integrated health care system to make reasonable efforts to include in its
provider group community providers other than the district hospital and
the medical school.