AN ACT

 1-1     relating to the provision of health care to an inmate confined in a

 1-2     facility operated by or under contract with the Texas Department of

 1-3     Criminal Justice.

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

 1-5           SECTION 1.  Subchapter B, Chapter 501, Government Code, is

 1-6     amended by adding Section 501.061 to read as follows:

 1-7           Sec. 501.061.  INMATE COPAYMENTS FOR CERTAIN HEALTH CARE

 1-8     VISITS.  (a)  An inmate confined in a facility operated by or under

 1-9     contract with the department, other than a halfway house, who

1-10     initiates a visit to a health care provider shall make a copayment

1-11     to the department in the amount of $3.  The inmate shall make the

1-12     copayment out of the inmate's trust fund.  If the balance in the

1-13     fund is insufficient to cover the copayment, 50 percent of each

1-14     deposit to the fund shall be applied toward the balance owed until

1-15     the total amount owed is paid.

1-16           (b)  The department may not charge a copayment for health

1-17     care:

1-18                 (1)  provided in response to a life-threatening or

1-19     emergency situation affecting the inmate's health;

1-20                 (2)  initiated by the department;

1-21                 (3)  initiated by the health care provider or

1-22     consisting of routine follow-up, prenatal, or chronic care; or

1-23                 (4)  provided under a contractual obligation that is

 2-1     established under the Interstate Corrections Compact or under an

 2-2     agreement with another state that precludes assessing a copayment.

 2-3           (c)  The department shall adopt policies to ensure that

 2-4     before an inmate initiates a visit to a health care provider, the

 2-5     inmate is informed that a $3 copayment will be deducted from the

 2-6     inmate's trust fund as required by Subsection (a).

 2-7           (d)  The department may not deny an inmate access to health

 2-8     care as a result of the inmate's failure or inability to make a

 2-9     copayment.

2-10           (e)  The department shall deposit money received under this

2-11     section in an account in the general revenue fund that may be used

2-12     only to pay the cost of administering this section.  At the

2-13     beginning of each fiscal year, the comptroller shall transfer any

2-14     surplus from the preceding fiscal year to the state treasury to the

2-15     credit of the general revenue fund.

2-16           SECTION 2.  Section 501.014, Government Code, is amended by

2-17     adding Subsection (g) to read as follows:

2-18           (g)  The department shall withdraw money from an inmate's

2-19     trust fund under Subsection (e) before the department applies a

2-20     deposit to that fund toward any unpaid balance owed to the

2-21     department by the inmate under Section 501.061.

2-22           SECTION 3.  This Act takes effect January 1, 1998.

2-23           SECTION 4.  The importance of this legislation and the

2-24     crowded condition of the calendars in both houses create an

2-25     emergency and an imperative public necessity that the

                                                                S.B. No. 203

 3-1     constitutional rule requiring bills to be read on three several

 3-2     days in each house be suspended, and this rule is hereby suspended.

         ________________________________   ________________________________

             President of the Senate              Speaker of the House

               I hereby certify that S.B. No. 203 passed the Senate on

         February 13, 1997, by a viva-voce vote; April 14, 1997, Senate

         refused to concur in House amendment and requested appointment of

         Conference Committee; April 17, 1997, House granted request of the

         Senate; May 10, 1997, Senate adopted Conference Committee Report by

         a viva-voce vote.

                                             _______________________________

                                                 Secretary of the Senate

               I hereby certify that S.B. No. 203 passed the House, with

         amendment, on April 9, 1997, by a non-record vote; April 17, 1997,

         House granted request of the Senate for appointment of Conference

         Committee; May 8, 1997, House adopted Conference Committee Report

         by a non-record vote.

                                             _______________________________

                                                 Chief Clerk of the House

         Approved:

         ________________________________

                      Date

         ________________________________

                    Governor