MINUTES SENATE COMMITTEE ON HEALTH & HUMAN SERVICES Wednesday, April 23, 1997 8 a.m. Senate Chamber ***** Pursuant to a notice posted and a motion made by Senator Zaffirini to suspend the Senate posting rules on SB 257 by Senator Luna and SB 276 by Senator Patterson, in accordance with Senate Rule 11.11, a public hearing of the Texas Senate Committee on Health and Human Services was held on Wednesday, April 23, 1997, in the Senate Chamber at Austin, Texas. ***** MEMBERS PRESENT: MEMBERS ABSENT: Senator Judith Zaffirini, Chair Senator Frank Madla Senator Jane Nelson, Vice Chair Senator John Carona Senator Mario Gallegos, Jr. Senator Michael Galloway Senator Chris Harris Senator Mike Moncrief Senator Drew Nixon Senator Jerry Patterson Senator Royce West ***** The chair called the meeting to order at 8 a.m. There being a quorum present, the following business was transacted. The chair laid out SB 1517 by Senator Truan, relating to the repeal of certain advisory committees of the Texas Department of Health, and recognized the author to explain the bill. The following person provided oral testimony on SB 1517: James Willmann, general counsel, Texas Nurses Association, 7600 Burnet Rd. #440, Austin, Texas 78757. The following persons registered as resource witnesses on SB 1517, but did not testify: Susan Steeg, general counsel, Texas Department of Health, 1100 W. 49th St., Austin, Texas 78756. Donna Flippin, program director, Texas Department of Health, 1100 W. 49th St., Austin, Texas 78756. There being no other witnesses registered or responding to the chair's call for public testimony related to SB 1517, the chair closed public testimony. Senator Galloway asked unanimous consent to be shown voting "aye" on SB 1517. There being no objection, the motion prevailed by unanimous consent. Senator Nelson moved that SB 1517 be reported to the Senate with the recommendation that it do pass and be printed. The motion prevailed by a vote of 10 "ayes," 0 "nays" and 1 "absent." Senator Nixon moved that SB 1517 be certified for the local and uncontested calendar. There being no objection, the motion prevailed by unanimous consent. Senator Nelson moved that the roll calls for votes on all bills to be heard by the committee on April 23 be left open so that other members could register their votes during the hearing. There being no objection, the motion prevailed by unanimous consent. The chair laid out the April 16, 1997, and April 17, 1997, minutes and called for revisions. There being none, Senate Moncrief moved approval. There being no objection, the motion prevailed by unanimous consent. Senator West moved to reconsider the vote by which the committee substitute for SB 1539 was reported favorably on Wednesday, April 16. There being no objection, the motion prevailed by unanimous consent. Senator West moved to reconsider the adoption of the committee substitute for SB 1539. There being no objection, the motion prevailed by unanimous consent. The chair laid out anew SB 1539 by Senator West, relating to the regulation of certain facilities, homes, and agencies that provide child care services and of child care administrators; providing penalties, and recognized the author. Senator West sent up a committee substitute and explained the differences between it and the bill as filed. The following person registered as a resource witness on the committee substitute for SB 1539, but did not testify: Howard Baldwin, deputy director, Texas Department of Protective and Regulatory Services, 701 W. 51st, Austin, Texas 78751. Senator West moved that the committee substitute for SB 1539 be adopted. There being no objection, the motion prevailed by unanimous consent. Senator Galloway asked unanimous consent to be shown voting "aye" on CSSB 1539. There being no objection, the motion prevailed by unanimous consent. Senator West moved that SB 1539 be reported to the Senate with the recommendation that it do not pass, but that the committee substitute adopted in lieu thereof do pass and be printed. The motion prevailed by a vote of 10 "ayes," 0 "nays" and 1 "absent." Senator West moved that CSSB 1539 be certified for the local and uncontested calendar. There being no objection, the motion prevailed by unanimous consent. At 8:15 Senator Nelson assumed presiding duties. The chair laid out SB 871 by Senator West, relating to the personal needs allowance for certain Medicaid recipients who are residents of long-term care facilities, and recognized the author to explaine the bill. The following persons provided oral testimony in support of SB 871: Thomas V. Perkins, deputy speaker protem, Texas Silver-Haired Legislature, P.O. Box 123, Smiley, Texas 78159. Charlotte Parks, Texas Silver-Haired Legislature, RT3, Box 3331, Ben Wheeler, Texas 75754. The following person registered in support of SB 871, but did not testify: Susan Schaffer, governmental affairs specialist, The Arc of Texas, 1600 W. 38th, #200, Austin, Texas 78731. The following person registered as a resource witness on SB 871, but did not testify: Bucky Olive, program specialist, Texas Department of Human Services, 701 W. 51st St., Austin, Texas 78758. There being no other witnesses registered or responding to the chair's call for public testimony related to SB 871, the chair closed public testimony The chair left SB 871 pending at the author's request. The chair laid out SCR 34 by Senator Moncrief, memorializing Congress to improve patient access to quality health care by facilitating to rapid review and approval of new drugs, biological products, and medical devices, and recognized the author to explain the bill. The following person registered in support of SCR 34, but did not testify: Joe Lovelace, president, Texas Alliance for the Mentally Ill, 9332 Forestridge, Dallas, Texas 75238. There being no other witnesses registered or responding to the chair's call for public testimony related to SCR 34, the chair closed public testimony. Senators Zaffirini and Galloway asked unanimous consent to be shown voting "aye" on SCR 34. There being no objection, the motion prevailed by unanimous consent. Senator Moncrief moved that SCR 34 be reported to the Senate with the recommendation that it do pass and be printed. The motion prevailed by a vote of 10 "ayes," 0 "nays" and 1 "absent." Senator Moncrief moved that SCR 34 be certified for the local and uncontested calendar. There being no objection, the motion prevailed by unanimous consent. The chair laid out SB 775 by Senator Nixon, relating to eligibility for public assistance benefits administered by health and human services agencies, and recognized the author to explain to the bill. Senator Nixon sent up a committee substitute and explained the differences between it and the bill as filed. The following persons registered as resource witnesses on the committee substitute for SB 775, but did not testify: Ray Krzesniak, Texas Department of Health, 1100 W. 49th St., Austin, Texas 78756. Irma Davila, program specialist, Texas Department of Human Services, 701 W. 51st, Austin, Texas 78714. The following person registered in opposition to the committee substitute for SB 775, but did not testify: Paula Littles, vice president, District 3, Texas AFL-CIO, 1106 Lavaca, Austin, Texas 78701. There being no other witnesses registered or responding to the chair's call for public testimony related to the committee substitute for SB 775, the chair closed public testimony. Senator Nixon moved that the committee substitute for SB 775 be adopted. There being no objection, the motion prevailed by unanimous consent. The chair left CSSB 775 pending temporarily. At 8:30 a.m. Senator Moncrief assumed presiding duties. The chair laid out SB 943 by Senator Nelson, relating to the regulation of medical radiologic technologists and other persons who perform radiologic procedures, and recognized the author to explain the bill. Senator Nelson sent up a committee substitute and explained the differences between it and the bill as filed. Senator Nelson moved that the committee substitute for SB 943 be adopted. There being no objection, the motion prevailed by unanimous consent. Senator Nelson sent up a committee amendment and moved its adoption. There being no objection, the motion prevailed by unanimous consent. The following persons provided oral testimony in support of CSSB 943: Matthew Wall, associate general counsel, Texas Hospital Association, P.O. Box 15587, Austin, Texas 78761. Clifford Burross, M.D., Texas Medical Association, 2414 Brentwood Dr., Wichita Falls, Texas 76308. The following persons provided written testimony in support of CSSB 943: Brent Gorman, physician, The Family Doctors, 1108 Dallas Dr., Suite 300, Denton, Texas 76205. Joseph Scott, M.D., physician, The Family Doctors, 1108 Dallas Drive, Suite 300, Denton, Texas 76205. Randall Martz, administrator, The Family Doctors, 1108 Dallas Dr., Suite 300, Denton, Texas 76205. The following persons registered in support of CSSB 943, but did not testify: Troy Alexander, director of public affairs, Texas Academy of Family Physicians, 2710 Walsh Tarlton, Austin, Texas 78746. David Greer, M.D., physician, David Greer, M.D. and Associates, P.O. Box 360, Henrietta, Texas 76365. Donald Stillwagon, M.D., 4775 W. Panther Creek Dr., #345, The Woodlands, Texas 77381. Shashi Rao, M.D., 3500 I-30, #D201, Mesquite, Texas 75150. Roland Goertz, M.D., 1600 Providence Dr., Waco, Texas 76707. James Repasky, Rt. 11, Box 458-k, Longview, Texas 75603. J.P. Word, executive director, Texas Chiropractic Association, 1601 Rio Grande, #420, Austin, Texas 78701. Carolyn Smith, M.D., 6448 Fannin St., Houston, Texas 77030. Brian Eades, 1901 Medipark, #200, Amarillo, Texas 79106. Warren Longmire Jr., M.D., Drawer 28, Hitchcock, Texas 77563. Dr. Kevin Kanz, Texas Chiropractic Association, Medical and Dental Center, 706 W. Martin Luther King, Suite 7, Austin, Texas 78701. Jorge Duchicela, partner, Yovens and Duchicela Clinic, 105 N. Grohmann, Weimar, Texas 78962. Timothy Lambert, M.D., 3262 Medical Plaza Dr., #111, Garland, Texas 75044. Charles Stephenson, M.D., One Tiffany Ln., Sugarland, Texas 77478. Jerry Daniels, M.D., president, Texas Society of Internal Medicine, 32 Adler Circle, Galveston, Texas 77557. Joe Hall, M.D., 4403 S. 20th, Abilene, Texas 79605. Jerry Hunsaker, 4707 Everhart, Corpus Christi, Texas 78411. James White, 10804 Wintergreen, Austin, Texas 78750. Dan Finch, director of public affairs, Harris County Medical Society, 1515 Hermann Dr., Houston, Texas 77004. Joe Cunningham, M.D., 203 Nacogdoches, Jacksonville, Texas 75766. Paul Handel, 1213 Hermann, Suite 675, Houston, Texas 77004. Frank Luneruani, 909 Southeast Parkway, Azle, Texas 76020. Terry Boucher, executive director, Texas Osteopathic Medical Association, 1415 Lavaca, Austin, Texas 78701. James Willmann, general counsel, Texas Nurses Association, 7600 Burnet Rd., #440, Austin, Texas 78757. The following persons provided oral testimony in opposition to CSSB 943: Marilyn Sackett, director/chief executive officer, Advanced Health Education Center, 8502 Tybor St., Houston, Texas 77074. Cheryl Timm, president, Texas Society of Radiologic Technologists, 2910 Jana, Pasadena, Texas 77503. Scott Morren, chief technologist, Administrative Radiologic Technologist, 2108 93rd. St., Lubbock, Texas 79423. Frank Collazo Jr., legislative consultant, Texas Society of Radiologic Technology 1122- Colorado, Suite 307, Austin, Texas 78701. Gay Schiappa, radiologic technologist, Texas Society of Radiologic Technologists, 14261 Shadow Bay Dr., Willis, Texas 77378. Gaynell Gainer, professor/program director, Educators of Radiologic Technologists on College and University Campuses, 1801 Martin Luther King Dr., San Antonio, Texas 78233. Rhonda Kay Jacobson, radiologic technologist, 3909 Burke, #4212, Pasadena, Texas 77504. There being no other witnesses registered or responding to the chair's call for public testimony related to CSSB 943, the chair closed public testimony. By unanimous consent, upon a motion by Senator Nelson, the chair recessed the Texas Senate Committee on Health and Human Services at 10:35 a.m. until thirty minutes after the adjournment of Senate business. The chair reconvened the Texas Senate Committee on Health and Human Services at 2:30 p.m. The chair laid out SB 257 by Senator Luna, relating to the regulation of the practice of naturopathic medicine; providing penalties, and recognized the author to explain the bill. Senator Luna sent up a committee substitute and explained the differences between it and the bill as filed. At 2:45 p.m. Senator Nelson assumed presiding duties. The following persons registered as resource witnesses on the committee substitute for SB 257, but did not testify: Donna Flippin, program director, Texas Department of Health, 1100 W. 49th St., Austin, Texas 78756. Walter Wilkerson Jr. M.D., chair, Texas Department of Health Board, 1516 N. San Jacinto St., Conroe, Texas 77301-1944. Laura Jordan, executive director, Center for Rural Health Initiatives, 211 E. 7th St., #915, Austin, Texas 78701. The following persons provided oral testimony in support of SB 257: Kenneth Looney, vice president, Texas Naturopathic Medical Association, 4242 Medical Dr., #1125, San Antonio, Texas 78229. Dr. Gerard Luna, naturopathic doctor, Texas Association of Naturopathic Physicians, 3520 Longview, #215, Austin, Texas 78705. Stephen Sporn, N.D., Texas Association of Naturopathic Physicians, 13612 Midway Rd., #333-16, Dallas, Texas 75244. The following persons registered in opposition to SB 257, but did not testify: J. P. Word, executive director, Texas Chiropractic Association, 1601 Rio Grande, #420, Austin, Texas 78701. Terry Boucher, executive director, Texas Osteopathic Medical Association, 1415 Lavaca, Austin, Texas 78701. The following person provided oral testimony in opposition to SB 257: Dr. Kevin D. Kanz, Texas Chiropractic Association, 706 W. Martin Luther King Blvd., #7, Austin, Texas 78701. The following person provided oral testimony on SB 257: Dr. Jim Zukowski, director, Professional Licensing Division, Texas Department of Health, 4207 Oak Creek Dr., Austin, Texas 78727. The following person registered in support of SB 257, but did not testify: Donna Hoenninger, Texas Naturopath Medical Association, 7435 Estrio Trail, San Antonio, Texas 78244. The following persons registered as resource witnesses on SB 257, but did not testify: A.R. "Dick" Hoenninger, secretary, Texas Naturopathic Medical Association, 7435 Estrio Trail, San Antonio, Texas 78244. Anna Searles, 2500 Side Cove, Austin, Texas 78704. There being no other witnesses registered or responding to the chair's call for public testimony related to the committee substitute for SB 257, the chair closed public testimony. The chair left the committee substitute for SB 257 pending temporarily. The chair laid out anew SB 276 by Senator Patterson, relating to the delivery of certain mental health, chemical dependency, and mental retardation services through networks established by community centers; establishing requirements for capitation and other at-risk contracts for members of the state's priority population; and declaring an emergency, and recognized the author. Senator Patterson sent up a new committee substitute and explained the differences between it and the bill as filed. Senator Patterson moved that the committee substitute be adopted. There being no objection, the motion prevailed by unanimous consent. The following persons provided oral testimony on CSSB 276: Spencer McClure, executive director, Texas Council of Community MHMR Centers, Inc., 8140 N. Mopac, Austin, Texas. Karen Thrash, staff attorney, Texas Department of Insurance, 333 Guadalupe, Austin, Texas 78703. There being no other witnesses registered or responding to the chair's call for public testimony related to CSSB 276, the chair closed public testimony. Senator Moncrief sent up committee amendment 1 and moved adoption. There being no objection, the motion prevailed by unanimous consent. The chair left CSSB 276 pending temporarily. The chair laid out SB 1309 by Patterson, relating to the regulation of the use of electroconvulsive therapy, and recognized the author to explain the bill. Senator Patterson sent up a committee substitute and explained the differences between it and the bill as filed. At 3:30 p.m. Senator Zaffirini resumed presiding duties. The following persons provided oral testimony in support of the committee substitute for SB 1309: John Friedberg, Restoration Education Support for ECT Survivors, 3000 Colby, #305, Oakland, California 94602. Mary King, 1114 W. 7th St., Austin, Texas 78703. Reba Latimer, member, Citizens Commission on Human Rights, 2305 Lockhart, Dallas, Texas 75228. Curtis Adams, Restoration Education Support for ECT Survivors, 2612 Hawthorne Dr., Amarillo, Texas 79109. Beth Mitchell, attorney, Advocacy, Inc., 7800 Shoal Creek Blvd., Suite 171-E, Austin, Texas 78757. Gloria Keraga, M.D., psychiatrist, Restoration Education Support for ECT Survivors, 3303 FM 1960 W., #145, Houston, Texas 77068. Diane Van Gelder, 130 W. Cliffside Dr., Amarillo, Texas 79108. Hannah Riddering, vice president, Texas National Organization for Women, 5911 Shoal Creek Blvd., Austin, Texas 78757. Douglas Gough Cameron, Survivors of Shock, Committee For Truth In Psychiatry, P.O. Box 1426, Giddings, Texas 78942. Charles Bell Jr., Citizens Commission on Human Rights, 9505 Brock Bank Dr., #4218, Dallas, Texas 75220. Sheila King, 2502 Cypress Creek Rd., Cedar Park, Texas 78613. Dianna Loper, Restoration Education Support for ECT Survivors, P.O. Box 1689, Dickinson, Texas 77539. Velma Stashi, 2113 Hawk Ln., Amarillo, Texas 79118. Moira Dolan, M.D., 1209 Parkway Ave., Austin, Texas 78703. Connie Horn, 5004 Greenhearth Dr., Austin, Texas 78745. Jane Betzen, 2703 S. Woodland, Amarillo, Texas 79103. Jennifer Harris Martin, Restoration Education Support for ECT Survivors, 811 Llano St., Pasadena, Texas 77504. John Breeding, PhD, psychologist, 2503 Douglas St., Austin, Texas 78741. Anna Searles, 2500 Side Cove, Austin, Texas 78704. Jerry Boswell, director, Citizens Commission on Human Rights, 711 W. 7th St., Suite 110, Austin, Texas 78701. The chair left public testimony open and the committee substitute for SB 1309 pending temporarily. The chair laid out anew the committee substitute for SB 257 by Senator Luna, relating to the regulation of the practice of naturopathic medicine; providing penalties, and recognized the author. Senator Moncrief sent up committee amendment 1 and moved its adoption. There being no objection, the motion prevailed by unanimous consent. Senator Moncrief moved that the amendment adopted be rolled into a new committee substitute for SB 257 and that the committee substitute be adopted. There being no objection, the motion prevailed by unanimous consent. Senator Moncrief moved that SB 257 be reported to the Senate with the recommendation that it do not pass, but that the committee substitute adopted in lieu thereof do pass and be printed. The motion prevailed by a vote of 8 "ayes," 1 "nay" and 2 "absent." The chair laid out anew CSSB 775 by Senator Nixon, relating to eligibility for public assistance benefits administered by health and human services agencies, and recognized the author. Senator Moncrief moved that SB 775 be reported to the Senate with the recommendation that it do not pass, but that the committee substitute adopted in lieu thereof do pass and be printed. The motion prevailed by a vote of 9 "ayes," 1 "nay" and 1 "absent." The chair laid out anew CSSB 943 by Senator Nelson, relating to the regulation of medical radiologic technologists and other persons who perform radiologic procedures, and recognized the author. Senator Nelson moved to reconsider the vote by which committee amendment 1 was adopted for SB 943. There being no objection, the motion prevailed by unanimous consent. Senator Nelson moved to reconsider the vote by which the the committee substitute for SB 943 was adopted. There being no objection, the motion prevailed by unanimous consent. Senator Nelson sent up committee amendment 1 and moved its adoption. There being no objection, the motion prevailed by unanimous consent. Senator Nelson moved that the amendment adopted be rolled into a new committee substitute for SB 943 and that the committee substitute be adopted. There being no objection, the motion prevailed by unanimous consent. Senator Nelson moved that SB 943 be reported to the Senate with the recommendation that it do not pass, but that the committee substitute adopted in lieu thereof do pass and be printed. The motion prevailed by a vote of 8 "ayes," 0 "nays" and 3 "absent." The chair laid out anew CSSB 276 by Senator Patterson, relating to the delivery of certain mental health, chemical dependency, and mental retardation services through networks established by community centers; establishing requirements for capitation and other at-risk contracts for members of the state's priority population; and declaring an emergency, and recognized the author. Senator Patterson moved to reconsider the vote by which committee amendment 1 was adopted for SB 276. There being no objection, the motion prevailed by unanimous consent. Senator Patterson moved to reconsider the vote by which the committee substitute for SB 276 was adopted. There being no objection, the motion prevailed by unanimous consent. Senator Patterson sent up committee amendment 1 and moved its adoption. There being no objection, the motion prevailed by unanimous consent. Senator Patterson moved that the amendment adopted be rolled into a new committee substitute for SB 276 and that the committee substitute be adopted. There being no objection, the motion prevailed by unanimous consent. Senator Patterson moved that SB 276 be reported to the Senate with the recommendation that it do not pass, but that the committee substitute adopted in lieu thereof do pass and be printed. The motion prevailed by a vote of 9 "ayes," 0 "nays" and 2 "absent." Senator Patterson moved that CSSB 276 be certified for the local and uncontested calendar. There being no objection, the motion prevailed by unanimous consent. The chair laid out anew SB 1309 by Patterson, relating to the regulation of the use of electroconvulsive therapy, and recognized the author. The following persons provided oral testimony in opposition to the committee substitute for SB 1309: Conway McDonald, M.D., Texas Medical Association, Texas Society of Psychiatric Physicians, 4600 Samvell, Dallas, Texas 75228. Frank Lane, M.D., psychiatrist, 368 Casa Linda Plaza, Dallas, Texas 75218. John Rush, M.D., Texas Society of Psychiatric Physicians, U.T. Southwestern Medical Center, Department of Psychiatry, 5329 Harry Hines Blvd., Dallas, Texas 75235-9101. Richard Weiner, M.D., PhD, chair, Task Force on ECT, American Psychiatric Association, Duke University Medical School, Durham, North Carolina 27710. Hal Haralson, attorney, 2501 N. Lamar, Austin, Texas 78705. Deborah Peel, M.D., member, Texas Society of Psychiatric Physicians, Texas Medical Association, 2905 San Gabriel, Austin, Texas, 78705. Joe Lovelace, president, Texas Alliance for the Mentally Ill, 9332 Forestridge, Dallas, Texas 75238. Sharon Roos, 2511 Southland Dr., Austin, Texas 78704. Karen Frey, 5607 Spring Night, San Antonio, Texas 78247. Diane Batchelder, executive vice president for legislative affairs, Texas Depressive and Manic-Depressive Association, 8902 N. Plaza Ct., Austin, Texas 78753. Virginia West, Psychiatric Association, 129 Kenshire Dr., Ft. Worth, Texas, 76126. Traff Allpass, member, San Antonio Depressive and Manic-Depressive Association, 8535 Donegal, San Antonio, Texas 78250. Melva Jean Cain, member, Texas Alliance for the Mentally Ill, 805 W. 16th St., Austin, Texas 78701. Sheila Samin Hazen, 212 Bahama Ct., Granbury, Texas 76048. Samuel Hazen, doctor, 212 Bahama Court, Granbury, Texas 76048. James Swinney, president, Texas Depressive and Manic-Depressive Association, 305 Bluebonnet Dr., Grapevine, Texas 76051. Brian Hamilton, Texas Depressive Manic-Depressive Association, 6156 Whitman Ave., Ft. Worth, Texas 76133. Ralph Douglas Shaw, Texas Depressive Manic-Depressive Association, 5004 Lincoln Oaks N., Apt. 414, Ft. Worth, Texas 76133. Kaye Plitt, secretary, Gulf Coast Alliance for the Mentally Ill, 314 Coke Lane, Alvin, Texas 77511. Mike Katz, president, Dallas Alliance for the Mentally Ill, 7222 Authon Dr., Dallas, Texas 75248. Laurel Neldon, 8554 Michelle Way, San Antonio, Texas 78239. Clifford Gay, vice president, Texas Depressive Manic-Depressive Association, 10951 Stone Canyon Rd., #145, Dallas, Texas 75230-4341. Shirley Dobbs, member, Texas Depressive Manic-Depressive Association, 3129 San Vicente, Dallas, Texas 75228. Kathy Taylor, 11032 Glen Echo Ct., Dallas, Texas 75238. Martha Leatherman, M.D., Texas Society of Psychiatric Physicians, 5807 Babcock, #195, San Antonio, Texas 78240. Charlotte Dallas, Texas Depressive Manic-Depressive Association, 4801 Goldfield, #170, San Antonio, Texas 78218. John Pickett, program specialist, Texas Mental Health Consumers, 7701 N. Lamar Blvd., Austin, Texas 78752. Raymond Faber, M.D., neuropsychiatrist, 7400 Merton Minter 116A, San Antonio, Texas 78284. The following persons provided oral testimony on the committee substitute for SB 1309: Nance Stearman, director, Texas Department of Health, 1100 W. 49th St., Austin, Texas 78756. Allan McCorkle, M.D., Three Medical Dr., Amarillo, Texas 79107. The following persons registered in support of the committee substitute for SB 1309, but did not testify: Jean Glowka, 600 W. Prairie Lea, Lockhart, Texas 78644. J. Cody McFadyen, 11609 Spotted Horse Dr., Austin, Texas 78759. Deborah Hiser, attorney, Advocacy, Inc., 7800 Shoal Creek Blvd., 171 E., Austin, Texas 78757. Betty Carlton, 5114 Balcones Woods Dr., Suite 307, Box 277, Austin, Texas 78759. Patrick Spruill, member, Citizens Commission on Human Rights, 2900 Regal Rd., Plano, Texas 75075. Dr. Caroline Kyle, 1000 W. Ct. St., Texas Lutheran University, Seguin, Texas, 78155. Robert Crosley, 1805 IH 35 N, #23A, San Marcos, Texas 78666. John Sims, 7592 Chevy Chase Dr., #103, Austin, Texas 78752. Megan Taylor, 7592 Chevy Chase Dr., #103, Austin, Texas 78752. Alex Jarrett, 2017 Bluebonnet, #214, Austin, Texas 78704. Russell Croman, design engineer, 8900 Hunters Trace, Austin, Texas 78758. Jeff Fischer, 6901 Grove Crest Dr., Austin, Texas 78736. Barbara McFadyen, 11609 Spotted Horse Dr., Austin, Texas 78759. Martha Harris, 12012 Stout Oak, Austin, Texas 78750. John Harris, 12012 Stout Oak, Austin, Texas 78750. Pam Patterson, 12002 N. Lamar, Austin, Texas 78753. Keely Collier, legislative legal assistant, National Association for the Advancement of Colored People, 200 E. 6th St., Ste 206, Austin, Texas 78701. Michelle Brazeal, Restoration Education Support for ECT Survivors, 314 S.Carroll, La Porte, Texas 77571. Robert McCance, 8800 N. I-35, Apt. 1004, Austin, Texas 78753. Lee Spiller, 11101 A, Renel Dr., Austin, Texas 78758. Joy Parker, 1922 Houghton, Dallas, Texas 75217. Rayetta Hendrix, P.O. Box 303, Holland, Texas 76534. Ralf Blackstone, M.D., 13012 Trent St., San Antonio, Texas 78232. Judith Jones, 10802 Kings Point, #510, Houston, Texas 77075. Beth Lynn Brown, 627 Rittiman Rd., San Antonio, Texas 78209. Martha Dickman, 510 Fossel Pass, San Antonio, Texas 78260. Susan Medlin, 1500 W. Wm. Cannon, #207, Austin, Texas 78745. The following persons registered in opposition to SB 1309, but did not testify: John Bush, executive director, Texas Society of Psychiatric Physicians, 401 W. 15th St., #675, Austin, Texas 78701. Frances Allpass, San Antonio Depressive Manic-Depressive Association, 8535 Donegal, San Antonio, Texas 78250. Terry Boucher, executive director, Texas Osteopathic Medical Association, 1415 Lavaca, Austin, Texas 78701. Richard Dean, Texas Depressive Manic-Depressive Association, 3000 Las Vegas Trail, Apt. 2-123, Ft. Worth, Texas 76116. Barbara Jameson, member, Texas Depressive Manic-Depressive Association, 10640 Steppington Dr., #1312, Dallas, Texas 75230. Charles Taylor, 11032 Glen Echo Ct., Dallas, Texas 75238. Rhonda Crow, member, National Depressive Manic-Depressive Association, 10803 Leafwood Ln., Austin, Texas 78750. The following person registered as a resource witness on the committee substitute for SB 1309, but did not testify: Susan Stone, M.D., P.O. Box 12668, Austin, Texas 78711. There being no other witnesses registered or responding to the chair's call for public testimony related to the committee substitute for SB 1309, the chair closed public testimony. The chair left the committee substitute for SB 1309 pending at the author's request. With no other business to come before the committee and upon a motion by Senator Galloway, the chair recessed the committee by unanimous consent at 7:20 p.m., subject to the call of the chair. _____________________________ Senator Judith Zaffirini, Chair ____________________________ Pam Crowley, Clerk