SRC-ARR C.S.H.B. 1748 76(R)BILL ANALYSIS Senate Research CenterC.S.H.B. 1748 76R14298 KLA-DBy: Van de Putte (Madla) Health Services 5/6/1999 Committee Report (Substituted) DIGEST Currently, the Texas Department of Health operates two hospitals that provide tuberculosis services, the Texas Center for Infectious Diseases in San Antonio and the South Texas Hospital in Harlingen. Both hospitals are at risk of losing accreditation due to aging and deteriorating buildings and lack of adequate operating funds. C.S.H.B. 1748 would set forth a long-range plan for the Texas Center for Infectious Disease and the provision of tuberculosis and communicable infectious disease health care and laboratory services. PURPOSE As proposed, C.S.H.B. 1748 sets forth a long-range plan for the Texas Center for Infectious Disease and the provision of tuberculosis and communicable infectious disease health care and laboratory services. RULEMAKING AUTHORITY This bill does not grant any additional rulemaking authority to a state officer, institution, or agency. SECTION BY SECTION ANALYSIS SECTION 1. RENOVATION OR CONSTRUCTION OF PHYSICAL FACILITIES OF TEXAS CENTER FOR INFECTIOUS DISEASE. Requires the Texas Board of Health (board) to contract for certain renovation and construction, including the mycobacterial -mycology research laboratory facilities. Requires the board to specify that the renovations include structural and design changes required for certain actions, if the board contracts for the renovation of the existing physical facilities under Subsection (a)(1). Requires the board to take certain action if the board contracts for the construction of new physical facilities under Subsection (a)(2). Makes conforming changes. SECTION 2. TUBERCULOSIS AND COMMUNICABLE INFECTIOUS DISEASE HEALTH CARE SERVICES. Authorizes the board to contract with the board of regents of The University of Texas System (board of regents) or any other entities or health care professionals who will provide tuberculosis health care services and communicable infectious disease health care services, as designated by the commissioner of public health, at the Texas Center for Infectious Disease or at another health care facility in proximity to the center. SECTION 3. STATEWIDE COORDINATION OF MEDICAL MANAGEMENT OF TUBERCULOSIS. Requires the board to contract with the board of regents for the coordination of medical management of tuberculosis throughout this state by the University of Texas Health Science Center at Tyler. Authorizes the contract to require that the statewide coordination of medical management include certain provisions. SECTION 4. AGREEMENT FOR TRANSPORTATION OF COMMUNICABLE DISEASE PATIENTS. Sets forth requirements for an agreement for transportation of communicable diseases patients. SECTION 5. DISPLACED EMPLOYEES OF TEXAS CENTER FOR INFECTIOUS DISEASE. Sets forth requirements for displaced employees of the Texas Center for Infectious Disease. SECTION 6. FUTURE USE OF EXISTING FACILITIES. Requires the board, the Texas Department of Mental Health and Mental Retardation (MHMR) and the General Services Commission (GSC) to collaborate to prepare leasing and other options for potential future uses of the existing physical facilities on completion of construction of the new physical facilities, if the board contracts for a new physical facility. SECTION 7. SCHEDULE. Requires the board to enter into the contracts required by this Act, not later than September 1, 2000. SECTION 8. AMENDMENT. Amends Chapter 814, Government Code, by adding Section 814.1042, as follows: Sec. 814.1042. TEMPORARY SERVICE RETIREMENT OPTION FOR MEMBERS AFFECTED BY CONTRACTS ENTERED INTO BY TEXAS DEPARTMENT OF HEALTH. Provides that this section applies only to members of the employee class whose positions with the Texas Department of Health (department) at the Texas Center for Infectious Diseases are eliminated and who separate from state service as result of certain actions. Sets forth requirements for a person eligible for retirement. Provides that this section applies only to positions eliminated on or after the effective date of this section. SECTION 9. CONTINGENT IMPLEMENTATION. Requires the department to implement this Act only if the legislature appropriates money specifically for that purpose. Prohibits the department from implementing this Act using other appropriations available for the purpose, if the legislature does not appropriate money specifically for that purpose. SECTION 10. Emergency clause. Effective date: upon passage. SUMMARY OF COMMITTEE CHANGES SECTION 1. Amends SECTION 1 to require the board to contract for certain renovation and construction, including the mycobacterial-mycology research laboratory facilities. Makes conforming changes. Deletes proposed SECTION 3 regarding a mycobacterial -mycology research laboratory. Redesignates SECTIONS accordingly. SECTION 6. Amends SECTION 6 to require the board, MHMR, and GSC to collaborate to prepare leasing and other options for potential future uses of the existing physical facilities on completion of construction of the new physical facilities, if the board contracts for a new physical facility. SECTION 7. Amends SECTION 7 to delete text regarding certain provisions of the schedule. SECTION 8. Amends SECTION 8 to delete text regarding the transfer of the mycobacterial-mycology research laboratory to the University of Texas Health Science Center at San Antonio. SECTION 9. Adds a new SECTION 9 regarding contingent implementation.