By King                                         H.B. No. 2598

      75R3753 SKB-D                           

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the membership and duties of the statewide health

 1-3     coordinating council.

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

 1-5           SECTION 1.  Section 104.011, Health and Safety Code, is

 1-6     amended to read as follows:

 1-7           Sec. 104.011.  COMPOSITION OF COUNCIL.  (a)  The statewide

 1-8     health coordinating council is composed of 16 [15] members

 1-9     determined as follows:

1-10                 (1)  the commissioner of health and human services or a

1-11     representative designated by the commissioner;

1-12                 (2)  the presiding officer of the Texas Higher

1-13     Education Coordinating Board or a representative designated by the

1-14     presiding officer;

1-15                 (3)  the presiding officer of the department or a

1-16     representative designated by the presiding officer;

1-17                 (4)  the presiding officer of the Texas Health Care

1-18     Information Council or a representative designated by the presiding

1-19     officer;

1-20                 (5)  one physician appointed by the governor after

1-21     considering any recommendations of appropriate professional

1-22     associations;

1-23                 (6)  a licensed nurse appointed by the governor after

1-24     considering any recommendations of appropriate professional

 2-1     associations;

 2-2                 (7)  two representatives of a university or

 2-3     health-related institution of higher education, appointed by the

 2-4     governor;

 2-5                 (8)  one hospital administrator, appointed by the

 2-6     governor;

 2-7                 (9)  one consumer advocate, appointed by the governor;

 2-8                 (10)  one psychologist appointed by the lieutenant

 2-9     governor after considering any recommendations of appropriate

2-10     professional associations;

2-11                 (11)  one managed care administrator, appointed by the

2-12     lieutenant governor;

2-13                 (12)  three consumer advocates, at least one of whom

2-14     must be a health policy expert or a health care economist,

2-15     appointed by the lieutenant governor; and

2-16                 (13)  one representative of a junior or community

2-17     college, appointed by the lieutenant governor [appointed by the

2-18     governor.  The governor shall appoint three members who represent

2-19     health care professionals, three members who represent institutions

2-20     of higher education, three members who are consumer advocates, and

2-21     six public members].

2-22           (b)  The appointments of the governor shall be with the

2-23     advice and consent of the senate.

2-24           SECTION 2.  Subchapter B, Chapter 104, Health and Safety

2-25     Code, is amended by adding Section 104.015 to read as follows:

2-26           Sec. 104.015.  ADVISORY BOARDS AND AD HOC COMMITTEES.  The

2-27     statewide health coordinating council may form advisory boards or

 3-1     ad hoc committees composed of health care experts from the public

 3-2     and private sectors to review policy matters related to the

 3-3     council's purpose.

 3-4           SECTION 3.  Section 105.001, Health and Safety Code, is

 3-5     amended to read as follows:

 3-6           Sec. 105.001.  DEFINITIONS [DEFINITION].  In this chapter:

 3-7                 (1)  "Health[, "health] profession" means any health or

 3-8     allied health profession that is licensed, certified, or registered

 3-9     by a state board, agency, or association.

3-10                 (2)  "Council" means the statewide health coordinating

3-11     council.

3-12           SECTION 4.  Section 105.002, Health and Safety Code, is

3-13     amended to read as follows:

3-14           Sec. 105.002.  Establishment of Center.  In conjunction with

3-15     the Texas Higher Education Coordinating Board and in such a way as

3-16     to avoid duplication of effort, the council [department] shall

3-17     establish a comprehensive health professions resource center for

3-18     the collection and analysis of educational and employment trends

3-19     for health professions in this state.

3-20           SECTION 5.  Section 105.003, Health and Safety Code, is

3-21     amended to read as follows:

3-22           Sec. 105.003.  COLLECTION OF DATA.  (a)  The council

3-23     [department] shall place a high priority on collecting and

3-24     disseminating data on health professions demonstrating an acute

3-25     shortage in this state, including:

3-26                 (1)  data concerning nursing personnel; and

3-27                 (2)  data concerning the health professions in which

 4-1     shortages occur in rural areas.

 4-2           (b)  To the extent possible, the council [department] may

 4-3     collect the data from existing sources that the council

 4-4     [department]  determines are credible.  The council [department]

 4-5     may enter agreements with those sources that establish guidelines

 4-6     concerning the identification, acquisition, transfer, and

 4-7     confidentiality of the data.

 4-8           (c)  At a minimum, the data collected by the council

 4-9     [department] must include the following in regard to health

4-10     professionals:

4-11                 (1)  their number and geographic distribution;

4-12                 (2)  licensure or certification status;

4-13                 (3)  specialty areas, if applicable; and

4-14                 (4)  trends or changes in license holders according to

4-15     number or geographic distribution.

4-16           SECTION 6.  Section 105.004, Health and Safety Code, is

4-17     amended to read as follows:

4-18           Sec. 105.004.  REPORTS.  The council [department] may use the

4-19     data collected and analyzed under this chapter  to publish reports

4-20     regarding:

4-21                 (1)  the educational and employment trends for health

4-22     professions;

4-23                 (2)  the supply and demand of health professions; and

4-24                 (3)  other issues, as necessary, concerning health

4-25     professions in this state.

4-26           SECTION 7.  Section 105.007, Health and Safety Code, is

4-27     amended to read as follows:

 5-1           Sec. 105.007.  CLEARINGHOUSE.  (a)  As part of the

 5-2     comprehensive health professions resource center, the council

 5-3     [department] shall develop and establish a clearinghouse for health

 5-4     professionals seeking collaborative practice.

 5-5           (b)  The council [department] may:

 5-6                 (1)  set and collect a reasonable fee to offset the

 5-7     cost of complying with this section;

 5-8                 (2)  solicit, receive, and spend grants, gifts, and

 5-9     donations from public and private sources to comply with this

5-10     section; and

5-11                 (3)  contract with public or private entities in the

5-12     performance of its responsibilities under this section.

5-13           SECTION 8.  Subchapter D, Chapter 104, Health and Safety

5-14     Code, is amended by adding Section 104.0421 to read as follows:

5-15           Sec. 104.0421.  STATEWIDE DATA COLLECTION AND COORDINATION.

5-16     (a)  The statewide health coordinating council shall establish

5-17     standards for collecting health data from state agencies and

5-18     departments.

5-19           (b)  The council shall collect data on health professionals.

5-20     The council may seek the assistance of the appropriate licensing

5-21     agency or department in the collection of data on health

5-22     professionals.  This data collection shall be made available to the

5-23     licensing agencies and departments for use in the licensing process

5-24     of health professionals.

5-25           (c)  The council shall monitor and evaluate long-term

5-26     regional, statewide, and local health needs.  The council shall use

5-27     this evaluation for developing recommendations relating to health

 6-1     education, training, and regulation.

 6-2           (d)  The council shall use data collected under this section

 6-3     to develop workforce goals for health professions and to recommend

 6-4     the appropriate level and distribution of state funding for

 6-5     education and training to achieve these goals.  The council shall

 6-6     evaluate the short-term and long-term effects of the

 6-7     recommendations made under this subsection.

 6-8           (e)  The council shall, with the assistance of higher

 6-9     education agencies and institutions, area health education centers,

6-10     teaching hospitals, and health education institutions, improve

6-11     coordination of statewide health planning.  The council may seek

6-12     the assistance of the National Association of Health Data

6-13     Organizations, the Association of American Medical Colleges, the

6-14     National Council of State Legislatures, and the Association of

6-15     American Health Centers.

6-16           SECTION 9.  This Act takes effect September 1, 1997.

6-17           SECTION 10.  (a)  The statewide health coordinating council

6-18     that existed immediately before the effective date of this Act is

6-19     abolished on the effective date of this Act.

6-20           (b)  In appointing the initial members of the statewide

6-21     health coordinating council as reconstituted by this Act, the

6-22     governor shall appoint two members to terms expiring August 1,

6-23     1999; two to terms expiring August 1, 2001; and two to terms

6-24     expiring August 1, 2003.

6-25           (c)  In appointing the initial members of the statewide

6-26     health coordinating council, the lieutenant governor shall appoint

6-27     two members to terms expiring August 1, 1999; two to terms expiring

 7-1     August 1, 2001; and two to terms expiring August 1, 2003.

 7-2           SECTION 11.  The importance of this legislation and the

 7-3     crowded condition of the calendars in both houses create an

 7-4     emergency and an imperative public necessity that the

 7-5     constitutional rule requiring bills to be read on three several

 7-6     days in each house be suspended, and this rule is hereby suspended.