By Van de Putte                                  H.B. No. 728

      75R3760 DLF-D                           

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the provision of Texas Poison Center Network Services

 1-3     to other jurisdictions and entities.

 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-5           SECTION 1.  Section 777.001(b), Health and Safety Code, is

 1-6     amended to read as follows:

 1-7           (b)  The poison control centers shall coordinate poison

 1-8     control activities within the designated health and human services

 1-9     regions for the state.  The Texas Department of Health and the

1-10     Advisory Commission on State Emergency Communications shall jointly

1-11     adopt rules designating the region for each poison control center.

1-12     The Texas Department of Health and the Advisory Commission on State

1-13     Emergency Communications may  jointly adopt rules permitting

1-14     poison control centers to provide services for regions served by

1-15     other  poison control centers in this state as necessary to

1-16     maximize efficient use of resources and provide appropriate

1-17     services in each region.

1-18           SECTION 2.  Sections 777.002(b) and (c), Health and Safety

1-19     Code, are amended to read as follows:

1-20           (b)  Each public safety answering point, as that term is

1-21     defined by Section 771.001, shall have direct telephone access to

1-22     at least one poison control center.  Regional poison information

1-23     services may be available directly from the center for the region

1-24     or from another poison control center but shall be available

 2-1     through all  9-1-1 services in the region, as the term "9-1-1

 2-2     service" is defined by Section 771.001.  The 9-1-1 service calls

 2-3     pertaining to poisonings may be routed to a [central] poison

 2-4     control answering site [within the region], if possible, if the

 2-5     routing does not adversely affect the immediate availability of

 2-6     poisoning management services.

 2-7           (c)  A poison control center shall ensure that poison control

 2-8     activities within the designated region meet the criteria

 2-9     established by the American Association of Poison Control Centers.

2-10     A center may meet the criteria directly or may affiliate with other

2-11     poison control centers or poison treatment facilities, [within the

2-12     region] if possible.  A center shall ensure that treatment

2-13     facilities and services are available within the region and shall

2-14     identify and make available to the public and to appropriate health

2-15     professionals information concerning analytical toxicology,

2-16     emergency and critical care, and extracorporeal capabilities within

2-17     the region.

2-18           SECTION 3.  Chapter 777, Health and Safety Code, is amended

2-19     by adding Sections 777.010 and 777.011 to read as follows:

2-20           Sec. 777.010.  OUT-OF-REGION SERVICES; SERVICES FOR PRIVATE

2-21     ENTITIES.  (a)  The Texas Department of Health and the Advisory

2-22     Commission on State Emergency Communications may jointly enter into

2-23     a contract for the provision of telephone referral and information

2-24     services or any program or service described by Section 777.003 to

2-25     any person, including:

2-26                 (1)  another state or a political subdivision of

2-27     another state; and

 3-1                 (2)  another country or a political subdivision of

 3-2     another country.

 3-3           (b)  The Texas Department of Health and the Advisory

 3-4     Commission on State Emergency Communications shall contract with

 3-5     one or more regional poison control centers to provide the services

 3-6     required under a contract entered into under Subsection (a).  The

 3-7     department and the commission may not enter into a contract under

 3-8     this subsection if, in the opinion of the department and the

 3-9     commission, the regional poison control center's performance of the

3-10     contract would result in a diminishment in the services provided in

3-11     the region.

3-12           (c)  A contract described by Subsection (a) must recover the

3-13     cost of providing the services and may include a reasonable

3-14     additional amount to support poison control center services in this

3-15     state. Revenue from a contract described by Subsection (a) must be

3-16     deposited to the credit of the regional poison control services

3-17     account.

3-18           Sec. 777.011.  REGIONAL POISON CONTROL SERVICES ACCOUNT.  The

3-19     regional poison control services account is an account in the

3-20     general revenue fund.  The account is composed of money deposited

3-21     to the account under Section 777.010(c).  Money in the account may

3-22     be appropriated only to the Texas Department of Health and the

3-23     Advisory Commission on State Emergency Communications:

3-24                 (1)  for administration of and payment for contracts

3-25     entered into under Section 777.010(b); and

3-26                 (2)  to fund grants awarded under Section 777.009.

3-27           SECTION 4.  (a) The Texas Department of Health and the

 4-1     Advisory Commission on State Emergency Communications shall conduct

 4-2     a study to determine what opportunities may exist to enter into

 4-3     contracts to provide poison control services under Section

 4-4     777.010(a), Health and Safety Code, as added by this Act.  The

 4-5     study must consider:

 4-6                 (1)  the use of the telecommunications network

 4-7     available to the Texas regional poison control centers;

 4-8                 (2)  the use of interactive computer technology to

 4-9     distribute medical information and toxicological advice; and

4-10                 (3)  the potential for providing services to other

4-11     states, other countries, or private entities, and the potential for

4-12     recovering the full cost of the services provided.

4-13           (b)  The study required by this section must be completed not

4-14     later than September 1, 1998.

4-15           (c)  If the Texas Department of Health and the Advisory

4-16     Commission on State Emergency Communications find that appropriate

4-17     opportunities exist for entering into contracts under Section

4-18     777.010(a), Health and Safety Code, as added by this Act, the

4-19     department and the commission shall take the steps necessary to

4-20     obtain the contracts.

4-21           (d)  Not later than January 15, 1999, the Texas Department of

4-22     Health and the Advisory Commission on State Emergency

4-23     Communications shall report to the legislature with respect to

4-24     implementation of this section.

4-25           SECTION 5.  The importance of this legislation and the

4-26     crowded condition of the calendars in both houses create an

4-27     emergency and an imperative public necessity that the

 5-1     constitutional rule requiring bills to be read on three several

 5-2     days in each house be suspended, and this rule is hereby suspended,

 5-3     and that this Act take effect and be in force from and after its

 5-4     passage, and it is so enacted.