AN ACT

 1-1     relating to the provision of Texas Poison Control Center Network

 1-2     services to other jurisdictions and entities.

 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-4           SECTION 1.  Subsection (b), Section 777.001, Health and

 1-5     Safety Code, is amended to read as follows:

 1-6           (b)  The poison control centers shall coordinate poison

 1-7     control activities within the designated health and human services

 1-8     regions for the state.  The Texas Department of Health and the

 1-9     Advisory Commission on State Emergency Communications shall jointly

1-10     adopt rules designating the region for each poison control center.

1-11     The Texas Department of Health and the Advisory Commission on State

1-12     Emergency Communications may jointly adopt rules permitting poison

1-13     control centers to provide services for regions served by other

1-14     poison control centers in this state as necessary to maximize

1-15     efficient use of resources and provide appropriate services in each

1-16     region.

1-17           SECTION 2.  Subsections (b) and (c), Section 777.002, Health

1-18     and Safety Code, are amended to read as follows:

1-19           (b)  Each public safety answering point, as that term is

1-20     defined by Section 771.001, shall have direct telephone access to

1-21     at least one poison control center.  Regional poison information

1-22     services may be available directly from the center for the region

1-23     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)  On approval by and in coordination with the

2-22     governor, the Texas Department of Health and the Advisory

2-23     Commission on State Emergency Communications may jointly enter into

2-24     a contract for the provision of telephone referral and information

2-25     services or any program or service described by Section 777.003 to

 3-1     any person, including:

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

 3-3     another state; and

 3-4                 (2)  another country or a political subdivision of

 3-5     another country.

 3-6           (b)  The Texas Department of Health and the Advisory

 3-7     Commission on State Emergency Communications shall contract with

 3-8     one or more regional poison control centers to provide the services

 3-9     required under a contract entered into under Subsection (a).  The

3-10     department and the commission may not enter into a contract under

3-11     this subsection if, in the opinion of the department and the

3-12     commission, the regional poison control center's performance of the

3-13     contract would result in a diminishment in the services provided in

3-14     the region.

3-15           (c)  A contract described by Subsection (a) must recover the

3-16     cost of providing the services and may include a reasonable

3-17     additional amount to support poison control center services in this

3-18     state.  Revenue from a contract described by Subsection (a) must be

3-19     deposited to the credit of the regional poison control services

3-20     account.

3-21           Sec. 777.011.  REGIONAL POISON CONTROL SERVICES ACCOUNT.  The

3-22     regional poison control services account is an account in the

3-23     general revenue fund.  The account is composed of money deposited

3-24     to the account under Section 777.010(c).  Money in the account may

3-25     be appropriated only to the Texas Department of Health and the

 4-1     Advisory Commission on State Emergency Communications:

 4-2                 (1)  for administration of and payment for contracts

 4-3     entered into under Section 777.010(b); and

 4-4                 (2)  to fund grants awarded under Section 777.009.

 4-5           SECTION 4.  (a)  The Texas Department of Health and the

 4-6     Advisory Commission on State Emergency Communications shall conduct

 4-7     a study to determine what opportunities may exist to enter into

 4-8     contracts to provide poison control services under Subsection (a),

 4-9     Section 777.010, Health and Safety Code, as added by this Act.  The

4-10     study must consider:

4-11                 (1)  the use of the telecommunications network

4-12     available to the Texas regional poison control centers;

4-13                 (2)  the use of interactive computer technology to

4-14     distribute medical information and toxicological advice; and

4-15                 (3)  the potential for providing services to other

4-16     states, other countries, or private entities and the potential for

4-17     recovering the full cost of the services provided.

4-18           (b)  The study required by this section must be completed not

4-19     later than September 1, 1998.

4-20           (c)  If the Texas Department of Health and the Advisory

4-21     Commission on State Emergency Communications find that appropriate

4-22     opportunities exist for entering into contracts under Subsection

4-23     (a), Section 777.010, Health and Safety Code, as added by this Act,

4-24     the department and the commission shall take the steps necessary to

4-25     obtain the contracts.

 5-1           (d)  Not later than January 15, 1999, the Texas Department of

 5-2     Health and the Advisory Commission on State Emergency

 5-3     Communications shall report to the legislature with respect to

 5-4     implementation of this section.

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

 5-6     crowded condition of the calendars in both houses create an

 5-7     emergency and an imperative public necessity that the

 5-8     constitutional rule requiring bills to be read on three several

 5-9     days in each house be suspended, and this rule is hereby suspended,

5-10     and that this Act take effect and be in force from and after its

5-11     passage, and it is so enacted.

                                                                S.B. No. 388

         _______________________________     _______________________________

             President of the Senate              Speaker of the House

               I hereby certify that S.B. No. 388 passed the Senate on

         February 26, 1997, by the following vote:  Yeas 31, Nays 0; and

         that the Senate adopted S.C.R. No. 68, requesting the return of

         S.B. No. 388 to the House for further consideration, on

         April 14, 1997; and that the Senate concurred in House amendment to

         S.B. No. 388 on April 23, 1997, by a viva-voce vote.

                                             _______________________________

                                                 Secretary of the Senate

               I hereby certify that S.B. No. 388 passed the House on

         April 3, 1997, by a non-record vote; and that the House adopted

         S.C.R. No. 68, requesting the return of S.B. No. 388 to the House

         for further consideration, on April 16, 1997; and that S.B. No. 388

         was passed by the House, with amendment, on April 18, 1997, by a

         non-record vote.

                                             _______________________________

                                                 Chief Clerk of the House

         Approved:

         _______________________________

                     Date

         _______________________________

                   Governor